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Contact Information

CARILLON VISION CARE
1900 WAUKEGAN RD
GLENVIEW, IL60025-1714
 Phone: 847-657-8787
 Fax: 847-657-8730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CARILLON VISION CARE

NPI # 1750407326
LBN Legal business name CARILLON VISION CARE
Authorized official JEROME AGREST - (PARTNER OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 03/26/2009 - About 17 years ago
Identifiers
IL License # 0718540001
IL License # 464927
IL License # 467979
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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