Organization
FAMILY EYE CARE OF OFALLON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D ERNST (OPTOMETRIST)
(618) 532-1082
Entity
Organization
Contact information
Practice address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
(618) 628-2913
Mailing address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
(618) 628-2913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008375
IL
Other
Enumeration date
03/06/2007
Last updated
12/11/2019
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