FOR EYES OPTICAL OF PA; NPI #1669680690

Contact Information

FOR EYES OPTICAL OF PA

474 RANDALL RD UNIT 300
SOUTH ELGIN, IL 60177-3317

Phone: 847-214-8076
Fax: 847-214-8249
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for FOR EYES OPTICAL OF PA

NPI # 1669680690

LBN Legal business name FOR EYES OPTICAL OF PA

Authorized official KIM GRIFFIN - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/21/2007

Last updated 02/27/2020 - About 6 years ago

Identifiers

License #

161093

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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FOR EYES OPTICAL OF PA

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for FOR EYES OPTICAL OF PA

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