Organization
GRANITE CITY EYE CARE, INC.
Active
Other names
Pearle Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MICHELLE COX (PRESIDENT)
(618) 876-2438
Entity
Organization
Contact information
Practice address
3717 NAMEOKI RD, SUITE B, GRANITE CITY, IL 62040-3720
(618) 876-2438
(618) 876-2440
Mailing address
3717 NAMEOKI RD, SUITE B, GRANITE CITY, IL 62040-3720
(618) 876-2438
(618) 876-2440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/28/2008
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