Buena Vista Optical, P.C.

LBN: Buena Vista Optical, P.C.
Buena Vista Optical, P.C. is an health care organization with primary practice located at 6455 S Kedzie Ave , Chicago IL 60629-2829. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Eyewear Supplier (Equipment, not the service). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Buena Vista Optical, P.C. can be contacted via phone (773) 863-9234, or through Sims, Todd via phone (773) 863-9234.

Contact Information

Primary practice address
6455 S Kedzie Ave Chicago IL 60629-2829
Phone: (773) 863-9234
Fax: (773) 863-9274
Website:
Map and Directions
Authorized official contact:
Name: Sims, Todd Doctor of Optometry (OD)
Phone: (773) 863-9234

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 046-009243 Illinois
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 046-009243 Illinois

Profile Details

NPI number 1740464296
LBN Legal business name Buena Vista Optical, P.C.
DBA Doing business as
Authorized official Sims, Todd Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Sep 11th, 2013 - about 12 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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