Eye Care Professionals Of Peru Od Pc

LBN: Eye Care Professionals Of Peru Od Pc
Eye Care Professionals Of Peru Od Pc is an health care organization with primary practice located at 1921 4Th St , Peru IL 61354-3309. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Care Professionals Of Peru Od Pc can be contacted via phone (815) 223-0151, or through Williams, Anthony P via phone (815) 223-0151.

Contact Information

Primary practice address
1921 4Th St Peru IL 61354-3309
Phone: (815) 223-0151
Fax: (815) 223-0307
Website:
Map and Directions
Authorized official contact:
Name: Williams, Anthony P Doctor of Optometry (OD)
Phone: (815) 223-0151

Health care specialties

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

Profile Details

NPI number 1699751701
LBN Legal business name Eye Care Professionals Of Peru Od Pc
DBA Doing business as
Authorized official Williams, Anthony P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 17th, 2010 - about 14 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 1699751701 NPPES
Illinois Other 0284470001 DMERC REGIONB
Illinois Other 05021930 DMERC REGIONB

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