Optometric Eyecare, Inc

Optometrist · Olney, IL

Organization Active NPI

NPI number 1376789578

Practice location

303 E Main St
Olney, IL 62450
Phone
(618) 395-2676

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NPI record

NPI
1376789578
Entity type
Organization (Type 2)
Enumeration date
December 18, 2008
Last updated
August 31, 2018
Organization subpart
Yes
Parent organization
Optometric Eyecare, Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046-008793 IL

Mailing address

303 E Main St
Olney, IL 62450-2117
Phone
(618) 395-2676

Authorized official

Name
Dr. Clark Edward Deshon, OD, FAAO
Title
President
Phone
(618) 395-2676

Other names

  • Olney EyeCare
  • Olney EyeCare

About Optometric Eyecare, Inc

Optometric Eyecare, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 303 E Main St, Olney, IL 62450. The NPI number 1376789578 was assigned on December 18, 2008 and the record was last updated on August 31, 2018.

Optometric Eyecare, Inc lists a license in the registry: #046-008793 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Clark Edward Deshon, OD, FAAO, President.

Frequently asked questions

What is the NPI number of Optometric Eyecare, Inc?

The NPI number is 1376789578.

What is the phone number of Optometric Eyecare, Inc?

The phone number listed for the practice location is (618) 395-2676.

Where is Optometric Eyecare, Inc located?

303 E Main St, Olney, IL 62450.

What is the taxonomy code for Optometric Eyecare, Inc?

The primary taxonomy code is 152W00000X – Optometrist.

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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