John J Geiser O.D.
Organization Active NPI Eyewear Supplier · Lacon, IL
NPI 1508043290 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1508043290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 046006796 (IL)
- Legal business name
- JOHN J GEISER O.D.
- Practice address
- 114 5TH St
Lacon, IL 61540-1206 - Phone
- (309) 246-8177
- NPI assigned
- Jan 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Jennifer L Chirchirillo
- Title
- Office Manager
- Phone
- (309) 246-8177
Practitioners 1
-
Kimberly Ann Yee, OD
National Provider Directory
Locations
420 N 4th St
#C
Chillicothe, IL 61523
Phone (309) 274-5411
114 5th St
Lacon, IL 61540
Phone (309) 246-8177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Eyewear Supplier | 332H00000X | 046006796 | IL | Yes |
Addresses
Primary practice location
114 5TH St
Lacon, IL 61540-1206
Mailing address
114 5TH St
Lacon, IL 61540-1206
Phone (309) 246-8177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046006796 | Medicaid | IL |
Other names
- lacon eye clinic
Other providers in Lacon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. 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.