International Eyecare Center Inc

LBN: International Eyecare Center Inc
International Eyecare Center Inc is an health care organization with primary practice located at 1505 W Main St , Mt Zion IL 62549. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. International Eyecare Center Inc can be contacted via phone (217) 864-3221, or through Short, Cathy Lee via phone (618) 462-9818.

Contact Information

Primary practice address
1505 W Main St Mt Zion IL 62549
Phone: (217) 864-3221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Short, Cathy Lee
Phone: (618) 462-9818

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1831605096
LBN Legal business name International Eyecare Center Inc
DBA Doing business as
Authorized official Short, Cathy Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2017
Last updated Jan 22nd, 2021 - about 5 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 1831605096 NPPES
Illinois MEDICAID 1760405047

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