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Terry Vail, O.D.

Optometrist in Macomb, IL. Individual provider (NPI-1).

NPI number1063494532
StatusActive
Last updated in NPPESAug 16, 2024

Details

NPI
1063494532
Entity type
Individual (NPI-1)
Name
Terry Vail
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 18, 2005
Certification date
Aug 16, 2024
Last updated
Aug 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0046 6378ILYes

Practice location

131 S Randolph St
Macomb, IL 61455-2207

Phone 309-833-5557

Mailing address

Po Box 398
Macomb, IL 61455-0398

Phone 309-833-5557

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Other Optometrist providers in Macomb, IL

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