Organization
MARENGO VISION CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W. THOMAS (PRESIDENT)
(815) 568-6508
Entity
Organization
Contact information
Practice address
205 N STATE ST, MARENGO, IL 60152-2239
(815) 568-6508
Mailing address
205 N STATE ST, MARENGO, IL 60152-2239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060009322
IL
Other
Enumeration date
07/05/2006
Last updated
08/23/2010
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