| NPI | 1922297472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DWIGHT MILLER President 217-234-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036060611) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 036060611) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2012-03-26 |