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JFJ EYECARE LTD NPI 1558644930


NPI Information

NPI: 1558644930
Provider Name: JFJ EYECARE LTD

Doing Business As: QUANTUM VISION CENTERS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D2080441

Address:
12 PROFESSIONAL PARK DR
MARYVILLE, IL
ZIP 62062
Phone: (636) 200-4393
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JFJ EYECARE LTD is a durable medical equipment medical supplies in Maryville, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JFJ EYECARE LTD NPI is 1558644930. The provider is registered as an organization entity type.
The provider Is Doing Business As Quantum Vision Centers.

The provider's business location address is:

12 PROFESSIONAL PARK DR
MARYVILLE, IL
ZIP 62062-672
Phone: (636) 200-4393
Fax: (618) 288-4583

The provider's authorized official is Sandra Lynn Cummins .
The authorized official title is Insurance Dept. Administrator and has the following contact phone number (618) 277-1130.

The CLIA number assigned to this NPI record is 14D2080441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2011 and was last updated on 6/21/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1203195OTHERILLINOISMEDICARE

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: 5/5/2024

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