Provider Demographics
NPI:1477252948
Name:ALBERS, KALEIGH MORGAN (OD)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:MORGAN
Last Name:ALBERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:HEYWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:61745-9351
Mailing Address - Country:US
Mailing Address - Phone:217-521-2179
Mailing Address - Fax:
Practice Address - Street 1:106 W BARNETT AVE
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:IL
Practice Address - Zip Code:62535-1117
Practice Address - Country:US
Practice Address - Phone:217-877-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011721152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist