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C E MYERS MD NPI 1376711283


NPI Information

NPI: 1376711283
Provider Name: C E MYERS MD
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
5401 N KNOXVILLE AVE
SUITE 106
PEORIA, IL
ZIP 61614
Phone: (309) 693-2710
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C E MYERS MD is an ophthalmology in Peoria, IL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. C E MYERS MD NPI is 1376711283. The provider is registered as an organization entity type.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 106
PEORIA, IL
ZIP 61614-098
Phone: (309) 693-2710
Fax: (309) 693-9460

The provider's authorized official is Clifford Earl Myers .
The authorized official title is Owner and has the following contact phone number (309) 693-2710.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 9/15/2008.


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
1332B00000XDurable Medical Equipment & Medical Supplies36060306ILLINOISNo
2207W00000XOphthalmology36060306ILLINOISYes

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
1180001153MEDICARE PINILLINOIS
20281450001MEDICARE NSCILLINOIS

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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