Premier Eyecare Center Pc

LBN: Premier Eyecare Center Pc
Premier Eyecare Center Pc is an health care organization with primary practice located at 742 N Market St Suite A, Waterloo IL 62298. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Premier Eyecare Center Pc can be contacted via phone (618) 939-4040, or through Toal, Robert L via phone (618) 939-4040.

Contact Information

Primary practice address
742 N Market St Suite A Waterloo IL 62298
Phone: (618) 939-4040
Fax: (618) 939-3903
Website:
Map and Directions
Authorized official contact:
Name: Toal, Robert L Doctor of Optometry (OD)
Phone: (618) 939-4040

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008356 Illinois

Profile Details

NPI number 1619092863
LBN Legal business name Premier Eyecare Center Pc
DBA Doing business as
Authorized official Toal, Robert L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 11th, 2018 - about 8 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 1619092863 NPPES
Illinois Other 06732021 BLUE CROSS BLUE SHIELD

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