Organization
MONTCLAIRE EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK W SCHWAGER O.D. (OPTOMETRIST/OWNER)
(618) 656-4658
Entity
Organization
Contact information
Practice address
1514 TROY RD STE C, EDWARDSVILLE, IL 62025-2597
(618) 656-4658
(618) 692-4999
Mailing address
1514 TROY RD STE C, EDWARDSVILLE, IL 62025-2597
(618) 656-4658
(618) 692-4999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.005901
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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