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Contact Information

CHITTICK OPTICAL INC
1213 STATE STREET
LAWRENCEVILLE, IL62439-2332
 Phone: 618-943-5713
 Fax: 618-943-5716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CHITTICK OPTICAL INC

NPI # 1821168428
LBN Legal business name CHITTICK OPTICAL INC
Authorized official WAGIH SATAR - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 03/19/2024 - About 2 years ago
Identifiers
IL License # 036.064073
IL License # 046.010205
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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