| NPI | 1518430859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M PINTER Owner 309-662-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-07-24 |