Jeffrey T. Caron, P.C.
Organization Active NPI Eyewear Supplier · Genoa, IL
NPI 1831350404 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1831350404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 46008157 (IL)
- Legal business name
- JEFFREY T. CARON, P.C.
- Practice address
- 318 W Main St
Genoa, IL 60135-5402 - Phone
- (815) 784-6480
- Fax
- (815) 784-4604
- NPI assigned
- Jun 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey T Caron, OD
- Title
- President
- Phone
- (815) 784-6480
National Provider Directory
Locations
318 W Main St
Genoa, IL 60135
Phone (815) 784-6480
318 W Main St
Ste 2
Genoa, IL 60135
Phone (815) 784-6480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 46008157 | IL | Yes |
Addresses
Primary practice location
318 W Main St
Genoa, IL 60135-5402
Mailing address
318 W Main St. Ste.2
Genoa, IL 60135-5402
Phone (815) 784-6480
Other names
- Jeffrey Caron Optometry PC
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. 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.