Alliance Eyecare, Inc.

LBN: Alliance Eyecare, Inc.
Alliance Eyecare, Inc. is an health care organization with primary practice located at 1228 Towanda Ave , Bloomington IL 61701-3469. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Alliance Eyecare, Inc. can be contacted via phone (309) 828-7723, or through Russell, Brenda A via phone (309) 828-7723.

Contact Information

Primary practice address
1228 Towanda Ave Bloomington IL 61701-3469
Phone: (309) 828-7723
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, Brenda A
Phone: (309) 828-7723

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1710042643
LBN Legal business name Alliance Eyecare, Inc.
DBA Doing business as
Authorized official Russell, Brenda A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Oct 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710042643 NPPES
Other 4718410001 DMERC
Other 05732032 DMERC

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