Organization · Type 2 NPI

State Street Optical, Inc.

Durable Medical Equipment & Medical Supplies · Quincy, IL

NPI number 1497779045 Active

Practice location

1118 Broadway St
Quincy, IL 62301-2810

Call (217) 222-0281 Map

Fax (217) 222-0281

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X2251-3787 (IL)

Durable Medical Equipment & Medical Supplies: 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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About NPI 1497779045

State Street Optical, Inc.'s National Provider Identifier is 1497779045, issued on Jul 27, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Quincy, IL. The record was last updated on Sep 24, 2008.