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NPI Code Detail

MEDICARE: VELD VISION CENTER

MEDICARE: VELD VISION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist046008221IL

General Provider Information

NPI Number : 1033290762
Entity Type Code : Organization
Provider Name (Legal Business Name) : VELD VISION CENTER
Provider Business Mailing Address
First Line : 1080 E EXCHANGE ST
Second Line :
City : CRETE
State : IL
Zip : 60417-3454
Country : US
Telephone Number : 708-672-3937
Fax Number : 708-672-3940
Provider Business Practice Location Address
First Line : 1080 E EXCHANGE ST
Second Line :
City : CRETE
State : IL
Zip : 60417-3454
Country : US
Telephone Number : 708-672-3937
Fax Number : 708-672-3940
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. PAUL ALLEN VELD
Credential : OD
Telephone Number : 708-672-3937
Provider Enumeration Date : 10/18/2006
Last Update Date : 11/09/2010

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Directions to “VELD VISION CENTER ” Practice Location

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