Mt. Carmel Eyecare

LBN: Optometric Eyecare, Inc
Mt. Carmel Eyecare is an health care organization with primary practice located at 715 Chestnut St , Mount Carmel IL 62863-1454. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometric Eyecare, Inc can be contacted via phone (618) 263-3362, or through Deshon, Clark E via phone (618) 263-3362.

Contact Information

Primary practice address
715 Chestnut St Mount Carmel IL 62863-1454
Phone: (618) 263-3362
Fax: (618) 263-6001
Website:
Map and Directions
Authorized official contact:
Name: Deshon, Clark E Doctor of Optometry (OD)
Phone: (618) 263-3362

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008793 Illinois

Profile Details

NPI number 1952541179
LBN Legal business name Optometric Eyecare, Inc
DBA Doing business as Mt. Carmel Eyecare
Authorized official Deshon, Clark E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2009
Last updated Mar 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952541179 NPPES
Illinois MEDICAID 046008793
Illinois Other 5290131
Illinois Other 09327152
Illinois Other 1861482309

Popular Providers