NPI 1396046090

Mervi H Leyendeckers, O.D., P.C.

Organisation Optometrist Quincy, IL

Practice location

Address: 926 Broadway St, Quincy, IL 62301-2730
Phone: (217) 222-6888
Fax: (217) 222-6975
Mailing address: 926 Broadway Street, Quincy, IL 62301-2730

Authorised official

Name: Mervi H Leyendeckers
Title: Optometrist
Phone: (217) 222-6888

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046008462 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1396046090
Entity type: Organization
NPI issued: 11 Nov 2010
Record last updated: 12 Dec 2011

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.