Organization
FOUNTAINS EYECARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ERIC JONES OD (PRESIDENT)
(618) 622-3013
Entity
Organization
Contact information
Practice address
314 FOUNTAINS PKWY, SUITE D, FAIRVIEW HEIGHTS, IL 62208-2165
(618) 622-3013
Mailing address
314 FOUNTAINS PKWY, SUITE D, FAIRVIEW HEIGHTS, IL 62208-2165
(618) 622-3013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008905
IL
Other
Enumeration date
07/21/2009
Last updated
12/03/2010
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