| |
21310 State Route 9, Tremont, IL 61568-9252 | |
(309) 347-7148 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist - Low Vision Rehabilitation |
Location | 21310 State Route 9, Tremont, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922540079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WL0500X | Optometrist - Low Vision Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
21310 State Route 9, Tremont, IL 61568-9252 Ph: (309) 347-7148 | 21310 State Route 9, Tremont, IL 61568-9252 Ph: (309) 347-7148 |