TAZEWELL COUNTY RESOURCE CENTERS INC NPI 1265431506

NPI Information

NPI: 1265431506
Provider Name: TAZEWELL COUNTY RESOURCE CENTERS INC

Doing Business As: TCRC SIGHT CENTER

Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
111 W WASHINGTON ST
SUITE 410
EAST PEORIA, IL
ZIP 61611
Phone: (309) 698-4001
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TAZEWELL COUNTY RESOURCE CENTERS INC is a low vision rehabilitation optometrist in East Peoria, IL. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. TAZEWELL COUNTY RESOURCE CENTERS INC NPI is 1265431506. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tcrc Sight Center.

The provider's business location address is:

111 W WASHINGTON ST
SUITE 410
EAST PEORIA, IL
ZIP 61611-532
Phone: (309) 698-4001
Fax: (309) 698-9227

The provider's authorized official is Ronald J Hale .
The authorized official title is President Ceo and has the following contact phone number (309) 347-7148.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 8/22/2020.

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
1	152WL0500X	Optometrist	Low Vision Rehabilitation		ILLINOIS	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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