Rieger, Mary T
Rieger, Mary T is an individual health care provider with primary practice located at 2 Aspen Ct , Fairbury IL 61739-1487. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Rieger, Mary T can be contacted via phone (815) 692-2415.Contact Information
Primary practice address
2 Aspen Ct
Fairbury IL 61739-1487
Phone: (815) 692-2415
Fax: (815) 692-2675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046-008997 | Illinois |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 046-008997 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008997 | Illinois |
Profile Details
| NPI number | 1770572620 |
|---|---|
| LBN Legal business name | Rieger, Mary T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770572620 | NPPES |
| Illinois | MEDICAID | 046008997 | |
| Illinois | Other | 05732151 |
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