Organization
TRI-COUNTY EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD FUNK O.D. (OWNER/PRESIDENT)
(309) 444-5188
Entity
Organization
Contact information
Practice address
100 HILLCREST DR, WASHINGTON, IL 61571-2200
(309) 444-5188
(309) 444-2258
Mailing address
100 HILLCREST DR, WASHINGTON, IL 61571-2200
(309) 444-5188
(309) 444-2258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008264
IL
Other
Enumeration date
12/19/2012
Last updated
03/14/2013
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