| NPI | 1285779546 |
|---|---|
| Doing Business As | ILLINOIS EYE CENTER SC |
| Entity Type | Organization |
| Authorized Contact | THOMAS M WYMAN President 309-243-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-03-17 |