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WYMAN SICHER EYE ASSOCIATES SC NPI 1285779546


NPI Information

NPI: 1285779546
Provider Name: WYMAN SICHER EYE ASSOCIATES SC

Doing Business As: ILLINOIS EYE CENTER SC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
8921 N WOOD SAGE RD
PEORIA, IL
ZIP 61615
Phone: (309) 243-2400
Get Directions

WYMAN SICHER EYE ASSOCIATES SC is an eyewear supplier in Peoria, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WYMAN SICHER EYE ASSOCIATES SC NPI is 1285779546. The provider is registered as an organization entity type.
The provider Is Doing Business As Illinois Eye Center Sc.

The provider's business location address is:

8921 N WOOD SAGE RD
PEORIA, IL
ZIP 61615-822
Phone: (309) 243-2400
Fax: (309) 243-7918

The provider's authorized official is Thomas M Wyman .
The authorized official title is President and has the following contact phone number (309) 243-2400.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 3/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10425500001MEDICARE NSC
207220057OTHERBLUE CROSS
3CL0035MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
4625160MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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