Organization
THE EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR I SAYEGH MD (MEDICAL DIRECTOR)
(217) 352-2020
Entity
Organization
Contact information
Practice address
403 WINDSOR RD, CHAMPAIGN, IL 61820-7722
(217) 352-2020
(217) 398-4040
Mailing address
403 WINDSOR RD, CHAMPAIGN, IL 61820-7722
(217) 352-2020
(217) 398-4040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309840092
—
IL
Enumeration date
10/02/2009
Last updated
10/02/2009
Update your record
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