Provider Demographics
NPI:1043413289
Name:MIDWEST EYE ASSOCIATES LLC
Entity Type:Organization
Organization Name:MIDWEST EYE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:STEAHLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:217-324-7767
Mailing Address - Street 1:303 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62056-2027
Mailing Address - Country:US
Mailing Address - Phone:217-324-7767
Mailing Address - Fax:217-529-0968
Practice Address - Street 1:303 N MONROE ST
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:IL
Practice Address - Zip Code:62056-2027
Practice Address - Country:US
Practice Address - Phone:217-324-7767
Practice Address - Fax:217-529-0968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty