Dr. Brian C Sommer
Optometrist
417 W Jefferson St
Morton
, Illinois 61550-1817
Dr. Brian C Sommer
Optometrist
417 W Jefferson St
Morton
, Illinois 61550-1817
(309) 263-8926
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Brian C Sommer
- 417 W Jefferson St
- Morton, IL
- Zip : 61550-1817
- Fax : (309) 263-8926
- Phone : (309) 263-8611
Second Address
- Dr. Brian C Sommer
- 417 W Jefferson St
- Morton, IL
- Zip : 61550-1817
- Fax : (309) 263-8926
- Phone : (309) 263-8611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-007309 | IL |
National Provider Identifier
| NPI | 1003986522 |
|---|---|
| Provider Name | Dr. Brian C Sommer |
| First Address | Morton, IL 61550-1817 |
| Second Address | Morton, IL 61550-1817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 13/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 410046605 | PALMETTO GBA RAILROAD MEDICARE (01) | |
| IL6829001 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.