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Contact Information

ADVANCED EYECARE GROUP PC
7011 NORTH AVE
OAK PARK, IL60302-1001
 Phone: 708-848-3900
 Fax: 708-848-3997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE GROUP PC

NPI # 1164464509
LBN Legal business name ADVANCED EYECARE GROUP PC
Authorized official PATRICIA O'HAGAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 11/06/2007 - About 19 years ago
Identifiers
IL Other 0001616047 BLUE CROSS BLUE SHIELD
IL Other P00173468 RAILROAD MEDICARE
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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