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NPI Code Detail

MEDICARE: KALEIGH MORGAN ALBERS OD

MEDICARE: KALEIGH MORGAN ALBERS OD
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
1152W00000XOptometrist046011721IL

General Provider Information

NPI Number : 1477252948
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEIGH MORGAN ALBERS OD
Provider Business Mailing Address
First Line : 2000 W MORTON AVE
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-2623
Country : US
Telephone Number : 217-245-6814
Fax Number : 217-245-0375
Provider Business Practice Location Address
First Line : 2000 W MORTON AVE
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-2623
Country : US
Telephone Number : 217-245-6814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 04/30/2024

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Directions to “ KALEIGH MORGAN ALBERS OD” Practice Location

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