Organization
BEHAVIORAL VISION, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE SPENCER SYPHERD O.D. (OWNER)
(815) 455-2800
Entity
Organization
Contact information
Practice address
820 E TERRA COTTA AVE, SUITE 256, CRYSTAL LAKE, IL 60014-3649
(815) 455-2800
(815) 455-2801
Mailing address
820 E TERRA COTTA AVE, SUITE 256, CRYSTAL LAKE, IL 60014-3649
(815) 455-2800
(815) 455-2801
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
046009482
IL
Other
Enumeration date
07/28/2010
Last updated
09/12/2011
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