Individual
AUSTIN C KROHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3325 MAINE ST, QUINCY, IL 62301-4457
(217) 231-3937
(217) 231-3940
Mailing address
3325 MAINE ST, QUINCY, IL 62301-4457
(217) 231-3937
(217) 231-3940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010052
IL
152W00000X
Optometrist
2007030965
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010052
—
IL
05
—
318758604
—
MO
Enumeration date
05/06/2008
Last updated
12/05/2023
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