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Contact Information

FOX VALLEY OPHTHALMOLOGY
40W330 LAFOX RD
SAINT CHARLES, IL60175-6515
 Phone: 630-584-9850
 Fax: 630-584-1523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for FOX VALLEY OPHTHALMOLOGY

NPI # 1528238854
LBN Legal business name FOX VALLEY OPHTHALMOLOGY
Authorized official SUSAN MOSS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers
IL License # 042002501
IL Other 04519570 BCBS
IL Other CL1986 MEDICARE RAILROAD
IL Other 379827 UNITED HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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