Brain-Eye Evolution At 730 North

LBN: Brain-Eye Evolution At 730 North
Brain-Eye Evolution At 730 North is an health care organization with primary practice located at 730 N Milwaukee Ave , Libertyville IL 60048-1914. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Brain-Eye Evolution At 730 North can be contacted via phone (847) 362-9900, or through Ricketts, Jody L via phone (847) 362-9900.

Contact Information

Primary practice address
730 N Milwaukee Ave Libertyville IL 60048-1914
Phone: (847) 362-9900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ricketts, Jody L Doctor of Optometry (OD)
Phone: (847) 362-9900

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1851741714
LBN Legal business name Brain-Eye Evolution At 730 North
DBA Doing business as
Authorized official Ricketts, Jody L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2016
Last updated Jun 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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