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Contact Information

ELITE OPTICAL LOOK DBA PEARLE VISON
410 N MICHIGAN AVE
CHICAGO, IL60611-4213
 Phone: 312-644-0885
 Fax: 312-222-1127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ELITE OPTICAL LOOK DBA PEARLE VISON

NPI # 1023229440
LBN Legal business name ELITE OPTICAL LOOK DBA PEARLE VISON
Authorized official GINA LIGHT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2007
Last updated 09/07/2007 - About 19 years ago
Identifiers
IL License # 1817003
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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