Illinois Express Vis Ctr Dnvll INC
Optometrist in Danville, IL. Organization (NPI-2).
NPI number1487724910
StatusActive
Last updated in NPPESMar 16, 2012
Details
- NPI
- 1487724910
- Entity type
- Organization (NPI-2)
- Legal business name
- Illinois Express Vis Ctr Dnvll INC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Mar 16, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046-007720 | IL | Yes |
Other names
- Illinois Express Eyecare (Doing Business As)
Practice location
2807 N Vermilion StSte 4
Danville, IL 61832-1444
Phone 217-446-5554
Mailing address
2807 N Vermilion StSte 4
Danville, IL 61832-1444
Authorized official
Mark Paris
President
2174465554
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All 24 Optometrist providers in Danville · All 1,252 providers in Danville
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