Crystal Clear Eye Care Clinic

LBN: Crystal Clear Eye Care Clinic
Crystal Clear Eye Care Clinic is an health care organization with primary practice located at 1760 Wise , Schaumberg IL 60193. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Crystal Clear Eye Care Clinic can be contacted via phone (847) 524-1700, or through Bakovich, Sherry L via phone (847) 524-1700.

Contact Information

Primary practice address
1760 Wise Schaumberg IL 60193
Phone: (847) 524-1700
Fax: (847) 524-1702
Website:
Map and Directions
Authorized official contact:
Name: Bakovich, Sherry L
Phone: (847) 524-1700

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 046007080 Illinois
Managed Care Organizations / Preferred Provider Organization 305R00000X 047935456 Illinois

Profile Details

NPI number 1154552016
LBN Legal business name Crystal Clear Eye Care Clinic
DBA Doing business as
Authorized official Bakovich, Sherry L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2009
Last updated Aug 26th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154552016 NPPES
Illinois Other 1730125451 NPI
Illinois Other 1841370061 NPI

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