institution
State Street Optical, Inc.
Durable Medical Equipment & Medical Supplies in Quincy, Illinois
NPI 1497779045

State Street Optical, Inc. is a Durable Medical Equipment & Medical Supplies based in Quincy, IL. State Street Optical, Inc. practices in Quincy, IL. The NPI Number for State Street Optical, Inc. is 1497779045 and holds a License No. 2251-3787 (Illinois).

The current practice location address for State Street Optical, Inc. is 1118 Broadway St, Quincy, IL and can be reached out via phone at 217-222-0281 and via fax at 217-222-0281.

Location: 1118 Broadway St, Quincy, IL, 62301-2810
institution
Provider Profile Details
NPI Number
1497779045
Provider Name
State Street Optical, Inc.
Credential
Provider Entity Type
Organization
Address
1118 Broadway St, Quincy, IL, 62301-2810
Phone Number
217-222-0281
Fax Number
217-222-0281
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1118 Broadway St
City
State
Zip
62301-2810
Phone Number
217-222-0281
Fax Number
217-222-0281
person
Provider Business Mailing Address Details
Address
1118 Broadway St
City
State
Zip
62301-2810
Phone Number
217-222-0281
Fax Number
217-222-0281
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
2251-3787 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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