| NPI | 1447222864 |
|---|---|
| Doing Business As | PRAIRIE EYE & LASIK CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON LANG Billing Administrator 217-698-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 042-000760) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-02-17 |