National Provider Identifier Database

SUBURBAN EYE SPECIALISTS
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

SUBURBAN EYE SPECIALISTS
10436 SOUTHWEST HWY STE 101
CHICAGO RIDGE, IL60415-2282
Phone: 708-586-4922
Fax:
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X
Optometric Technician 156FX1202X

* Indicates primary specialty

NPI Profile & details for SUBURBAN EYE SPECIALISTS

NPI Number 1043794506
Legal business name
LBN
SUBURBAN EYE SPECIALISTS
Authorized official BENJAMIN TICHO - (AUTHORIZED OFFICIAL/OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/20/2018
Last updated 10/07/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 300622839
  • IN Medicaid: 300016721

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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