Organization Name: | EYECARE MANAGEMENT, LLC |
NPI Number: | 1558644930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA LYNN CUMMINS (INSURANCE DEPT. ADMINISTRATOR) |
Mailing Address: | 12 Professional Park Dr Maryville |
State: | IL US |
Postal Code: | 620625672 |
Phone Number: | 6182887266 |
Fax Number: | 6182884583 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |