NPI 1003575762

Behold Star Eyes Limited Liability Company Utang Ekpo Sole Mbr

Organisation Optometrist Danville, IL

Practice location

Address: 3649 N Vermilion St, Danville, IL 61832-1118
Phone: (217) 431-4776
Mailing address: 9 Ridgeview St APT 104, Danville, IL 61832-1436

Authorised official

Name: Utang Ekpo
Title: Manager
Phone: (678) 799-0857

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Registry record

NPI: 1003575762
Entity type: Organization
NPI issued: 9 Dec 2021
Record last updated: 9 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.