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Contact Information

FOR EYES OPTICAL OF PENNSYLVANIA
2555 N CLARK ST
CHICAGO, IL60614-1768
 Phone: 773-929-5553
 Fax: 773-929-0908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for FOR EYES OPTICAL OF PENNSYLVANIA

NPI Number 1679621270
LBN Legal business name FOR EYES OPTICAL OF PENNSYLVANIA
Authorized official PHILIP WOLMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 09/30/2013 - About 13 years ago
Identifiers n/a
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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