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Contact Information

BLACK EYE GROUP, L.L.C.
232 S WASHINGTON ST STE 3
NAPERVILLE, IL60540-5370
 Phone: 630-369-3937
 Fax: 630-369-3933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BLACK EYE GROUP, L.L.C.

NPI Number 1063776292
LBN Legal business name BLACK EYE GROUP, L.L.C.
Authorized official ADAM BLACK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2012
Last updated 10/10/2024 - More than a year ago
Identifiers
IL License # 046.010312
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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