Kern Optometric Associates Pc
LBN: Kern Optometric Associates Pc
Kern Optometric Associates Pc is an health care organization with primary practice located at 4408 N Knoxville Ave Suite C, Peoria IL 61614. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Kern Optometric Associates Pc can be contacted via phone (309) 682-6214, or through Kern, Richard C via phone (309) 682-6244.
Contact Information
Primary practice address
4408 N Knoxville Ave Suite C
Peoria IL 61614
Phone: (309) 682-6214
Fax: (309) 682-6236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007198 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0467198 | Illinois |
Profile Details
| NPI number | 1598947343 |
|---|---|
| LBN Legal business name | Kern Optometric Associates Pc |
| DBA Doing business as | |
| Authorized official | Kern, Richard C Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | May 7th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598947343 | NPPES |
| Illinois | MEDICAID | 046007198 | |
| Illinois | Other | 1497812242 |
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