Organization
WOODS VISION CARE SPECIALISTS, INC
Active
Other names
Mascoutah Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNE WANDA MCDANIEL O.D (VICE PRESIDENT)
(618) 566-8899
Entity
Organization
Contact information
Practice address
100 E MAIN ST, MASCOUTAH, IL 62258-2135
(618) 566-8899
Mailing address
100 E MAIN ST, MASCOUTAH, IL 62258-2135
(618) 566-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006501
IL
152W00000X
Optometrist
046008579
IL
Other
Enumeration date
09/08/2010
Last updated
03/02/2011
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