Organization
GREAT RIVERS EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE A SMITH (DIRECTOR OF OPERATIONS)
(217) 342-2672
Entity
Organization
Contact information
Practice address
519 S STATE ST, JERSEYVILLE, IL 62052-2241
(217) 342-2672
Mailing address
303 N KELLER DR, EFFINGHAM, IL 62401-1859
(217) 342-2672
(217) 342-2681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/13/2022
Last updated
10/09/2024
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