Mack, Harvey
Mack, Harvey is an individual health care provider with primary practice located at 2020 W Iles Ave , Springfield IL 62704-4174. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mack, Harvey can be contacted via phone (217) 698-3030.Contact Information
Primary practice address
2020 W Iles Ave
Springfield IL 62704-4174
Phone: (217) 698-3030
Fax: (217) 698-3068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | Illinois |
Profile Details
NPI number | 1386692630 |
---|---|
LBN Legal business name | Mack, Harvey |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Sep 4th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386692630 | NPPES |
Illinois | Other | P00315313 | RAILROAD MEDICARE |
Popular Providers
-
Blomberg, Scott
121 N Grand Ave W , Springfield IL 62702-2562 -
Blumthal, Robert James
2020 W Iles Ave , Springfield IL 62704-4174 -
Atkins, Brian Douglas
2765 S Veterans Pkwy , Springfield IL 62704-6402 -
Henderson, Donald Wade
2709 S Kobe Mill Ed , Springfield IL 62711 -
Edwards, Robert P
3055 Wabash Ave , Springfield IL 62704 -
Wilkison, Thomas A
2765 S Veterans Pkwy , Springfield IL 62704-6402 -
Moushon, Gaylan Wayne
1025 S 6Th St , Springfield IL 62703-2403 -
Walsh, James Patrick
2300 W White Oaks Dr Sam'S Club Optical, Springfield IL 62704-6423