| NPI | 1215378963 |
|---|---|
| Doing Business As | MAIN STREET EYE CLINIC-A DIVISION OF IEC |
| Entity Type | Organization |
| Authorized Contact | TERESA D CARTER President 217-222-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2021-01-22 |