John Robert Eigenbrodt, O.D.

Optometrist · Edwardsville, IL

Individual Active NPI

NPI number 1982602918

Practice location

1950 Edwardsville Club Plaza
Edwardsville, IL 62025-3517
Phone
(618) 656-3199
Fax
(618) 656-3099

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NPI record

NPI
1982602918
Entity type
Individual (Type 1)
Enumeration date
July 13, 2005
Last updated
June 3, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046008144 IL

About Dr. Eigenbrodt

John Robert Eigenbrodt, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1950 Edwardsville Club Plaza, Edwardsville, IL 62025-3517. The NPI number 1982602918 was assigned on July 13, 2005 and the record was last updated on June 3, 2009.

Dr. Eigenbrodt lists a license in the registry: #046008144 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Robert Eigenbrodt, O.D.?

The NPI number is 1982602918.

What is the phone number of Dr. Eigenbrodt?

The phone number listed for the practice location is (618) 656-3199.

Where is Dr. Eigenbrodt located?

1950 Edwardsville Club Plaza, Edwardsville, IL 62025-3517.

What is the taxonomy code for Dr. Eigenbrodt?

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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