National Provider Identifier Database

FOR EYES OPTICAL OF PA
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

FOR EYES OPTICAL OF PA
9 W MADISON ST
CHICAGO, IL60602
Phone: 312-857-2020
Fax:
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for FOR EYES OPTICAL OF PA

NPI Number 1124176698
Legal business name
LBN
FOR EYES OPTICAL OF PA
Authorized official JOSE COSTA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/08/2007
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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