Koke Mill Optical

Eyewear Supplier · Springfield, IL

Organization Active NPI

NPI number 1326458464

Practice location

2709 S Koke Mill Rd
Springfield, IL 62711
Phone
(217) 698-9477
Fax
(217) 698-9474

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NPI record

NPI
1326458464
Entity type
Organization (Type 2)
Enumeration date
April 29, 2014
Last updated
October 22, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X — —

Authorized official

Name
Dorsey Henderson
Title
Manager
Phone
(217) 698-9477

About Koke Mill Optical

Koke Mill Optical is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 2709 S Koke Mill Rd, Springfield, IL 62711. The NPI number 1326458464 was assigned on April 29, 2014 and the record was last updated on October 22, 2019.

The authorized official for this organization is Dorsey Henderson, Manager.

Frequently asked questions

What is the NPI number of Koke Mill Optical?

The NPI number is 1326458464.

What is the phone number of Koke Mill Optical?

The phone number listed for the practice location is (217) 698-9477.

Where is Koke Mill Optical located?

2709 S Koke Mill Rd, Springfield, IL 62711.

What is the taxonomy code for Koke Mill Optical?

The primary taxonomy code is 332H00000X – Eyewear Supplier.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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