Organization
FAMILY EYE CARE ASSOCIATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS W. JOHNSON O.D. (PRESIDENT)
(217) 532-5044
Entity
Organization
Contact information
Practice address
675 SCHOOL ST, HILLSBORO, IL 62049-1530
(217) 532-5044
(217) 532-2109
Mailing address
675 SCHOOL ST, HILLSBORO, IL 62049-1530
(217) 532-5044
(217) 532-2109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007103
IL
152W00000X
Optometrist
046008320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007103
—
IL
05
—
046008093
—
IL
05
—
046008320
—
IL
Enumeration date
07/06/2006
Last updated
03/16/2011
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