Dr. John Robert Eigenbrodt, O.D.
Optometrist in Edwardsville, IL. Individual provider (NPI-1).
NPI number1982602918
StatusActive
Last updated in NPPESJun 3, 2009
Details
- NPI
- 1982602918
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Robert Eigenbrodt
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2005
- Last updated
- Jun 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046008144 | IL | Yes |
Practice location
1950 Edwardsville Club PlazaEdwardsville, IL 62025-3517
Phone 618-656-3199 · Fax 618-656-3099
Mailing address
1950 Edwardsville Club PlazaEdwardsville, IL 62025-3517
Phone 618-656-3199 · Fax 618-656-3099
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All 20 Optometrist providers in Edwardsville · All 899 providers in Edwardsville
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