| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1548276306 | EYECARE MANAGEMENT, LLC | 408 W 2ND ST | CENTRALIA | IL | 628013402 | |||
| 1235134982 | RIVERA - KUNZ | KATHLEEN | M | 408 W 2ND ST | CENTRALIA | IL | 628013402 | |
| 1225033970 | WOLF | DANIEL | A | 408 W 2ND ST | CENTRALIA | IL | 628013402 |