International Eyecare Center, INC
Optometrist in Hannibal, MO. Organization (NPI-2).
NPI number1124205166
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1124205166
- Entity type
- Organization (NPI-2)
- Legal business name
- International Eyecare Center, INC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2008
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
215 Progress RdHannibal, MO 63401-6637
Phone 573-248-1616
Mailing address
2445 Broadway StQuincy, IL 62301-3257
Phone 217-592-3906
Authorized official
Cathy Lee Short
Credentialing Manager
6184629818
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