Eye Surgical Associates Sc

LBN: Eye Surgical Associates Sc
Eye Surgical Associates Sc is an health care organization with primary practice located at 1505 Eastland Dr Suite 2200, Bloomington IL 61701-3534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Surgical Associates Sc can be contacted via phone (309) 662-7700, or through Colloton, Edward L via phone (309) 662-7700.

Contact Information

Primary practice address
1505 Eastland Dr Suite 2200 Bloomington IL 61701-3534
Phone: (309) 662-7700
Fax: (309) 662-0829
Website:
Map and Directions
Authorized official contact:
Name: Colloton, Edward L Doctor of Medicine (MD)
Phone: (309) 662-7700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 042006101 Illinois

Profile Details

NPI number 1396771002
LBN Legal business name Eye Surgical Associates Sc
DBA Doing business as
Authorized official Colloton, Edward L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 28th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396771002 NPPES
Illinois Other 005700231 BC/BS PROV #

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