Unknown Individual – Optometrist, NPI 1477540318
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1008, North Main Street, Cultural District, Bloomington, McLean County, Illinois, 61701, United States
BLOOMINGTON, IL 617011784
Phone: (309) 829-5311
Fax: (309) 827-8027
Type: Mailing
2475, North Monroe Street, Decatur, Macon County, Illinois, 62526, United States
DECATUR, IL 625263941
Phone: (217) 875-5900
Fax: (217) 875-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61701)
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