Optik Boutique

LBN: Noron, Inc
Optik Boutique is an health care organization with primary practice located at 456 Fulton St Suite 140, Peoria IL 61602-1274. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Noron, Inc can be contacted via phone (309) 674-6633, or through Dameron, Rhonda V via phone (309) 674-6633.

Contact Information

Primary practice address
456 Fulton St Suite 140 Peoria IL 61602-1274
Phone: (309) 674-6633
Fax: (309) 674-6694
Website:
Map and Directions
Authorized official contact:
Name: Dameron, Rhonda V Doctor of Optometry (OD)
Phone: (309) 674-6633

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007514 Illinois

Profile Details

NPI number 1124263017
LBN Legal business name Noron, Inc
DBA Doing business as Optik Boutique
Authorized official Dameron, Rhonda V Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2008
Last updated May 17th, 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 1124263017 NPPES
Illinois MEDICAID 046007514

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