Mattoon Eye Center S C

LBN: Mattoon Eye Center S C
Mattoon Eye Center S C is an health care organization with primary practice located at 220 Richmond Ave E , Mattoon IL 61938-4652. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Customized Equipment. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Mattoon Eye Center S C can be contacted via phone (217) 234-3937, or through Miller, Ronald Dwight via phone (217) 234-3937.

Contact Information

Primary practice address
220 Richmond Ave E Mattoon IL 61938-4652
Fax: (217) 234-3930
Website:
Authorized official contact:
Name: Miller, Ronald Dwight Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036060611 Illinois
Suppliers / Customized Equipment 332BC3200X 036060611 Illinois

Profile Details

NPI number 1922297472
LBN Legal business name Mattoon Eye Center S C
DBA Doing business as
Authorized official Miller, Ronald Dwight Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Mar 26th, 2012 - about 14 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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