Organization
INTERNATIONAL EYECARE CENTER, INC
Active
Other names
Intl Eyrcr Ctr Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEE SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1233 W MORTON AVE STE C, JACKSONVILLE, IL 62650-2774
(217) 245-8800
(217) 245-6100
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
046009076
IL
Other
Enumeration date
02/01/2008
Last updated
01/22/2021
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