Organization
INNOVATIVE EYE CARE SOLUTIONS, LTD.
Active
Other names
Belleville Optometrists, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM VERNON RITZEL O.D. (PRESIDENT)
(618) 233-1270
Entity
Organization
Contact information
Practice address
22 N JACKSON ST, BELLEVILLE, IL 62220-1425
(618) 233-1270
Mailing address
22 N JACKSON ST, BELLEVILLE, IL 62220-1425
(618) 233-1270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6009155
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211358
MEDICARE GROUP
IL
Enumeration date
09/27/2006
Last updated
11/10/2010
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