Eyecare Dimensions LLC
Organization Active NPI Optometrist · Byron, IL
NPI 1396212957 · NPPES record last updated Oct 31, 2018
Key facts
- NPI
- 1396212957
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYECARE DIMENSIONS LLC
- Practice address
- 134 E Blackhawk Dr
Byron, IL 61010-8610 - Phone
- (815) 234-2020
- Fax
- (815) 234-7070
- NPI assigned
- Oct 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Susan Penner Penner, OD
- Title
- Member
- Phone
- (815) 289-6512
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
134 E Blackhawk Dr
Byron, IL 61010-8610
Mailing address
134 E Blackhawk Dr
Byron, IL 61010-8610
Phone (815) 234-2020
Other names
- EyeCare Dimensions
Other providers in Byron, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.