Dr. Kevin Glancy And Associates
Optometrist in Champaign, IL. Organization (NPI-2).
NPI number1801913124
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1801913124
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Kevin Glancy And Associates
- Organization subpart
- No
- Enumeration date
- Mar 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4608240 | IL | Yes |
Practice location
2000 N Neil StLenscrafters
Champaign, IL 61820-7808
Phone 217-356-4619 · Fax 217-356-3052
Mailing address
2000 N Neil StLenscrafters
Champaign, IL 61820-7808
Phone 217-356-4619 · Fax 217-356-3052
Authorized official
Kevin Lee Glancy
Owner
2173564619
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