Organization
INDEPENDENT EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MAXWELL NEW OD (OWNER)
(508) 423-6005
Entity
Organization
Contact information
Practice address
13327 S STATE ROUTE 59 UNIT 111, PLAINFIELD, IL 60585-5897
(815) 918-4000
Mailing address
13327 S STATE ROUTE 59 UNIT 111, PLAINFIELD, IL 60585-5897
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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