Crystal Lake Ophthalmology Associates Pc
LBN: Crystal Lake Ophthalmology Associates Pc
Crystal Lake Ophthalmology Associates Pc is an health care organization with primary practice located at 280A Memorial Ct 280A Memorial Ct, Crystal Lake IL 60014-6233. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Crystal Lake Ophthalmology Associates Pc can be contacted via phone (815) 455-4222, or through Dolezal, Edward Geo via phone (815) 455-4222.
Contact Information
Primary practice address
280A Memorial Ct 280A Memorial Ct
Crystal Lake IL 60014-6233
Phone: (815) 455-4222
Fax: (815) 455-5093
Website:
Authorized official contact:
Name: Dolezal, Edward Geo Doctor of Medicine (MD)
Phone: (815) 455-4222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036070162 | Illinois |
Profile Details
| NPI number | 1669530838 |
|---|---|
| LBN Legal business name | Crystal Lake Ophthalmology Associates Pc |
| DBA Doing business as | |
| Authorized official | Dolezal, Edward Geo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Feb 28th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669530838 | NPPES |
| Illinois | MEDICAID | 036070162 | |
| Illinois | Other | 180038854 |
Popular Providers
-
Southeast Texas Medical Associates, Llp
2929 Calder St Ste 100, Beaumont TX 77702-1841 -
Hogan Eye Clinic, P. A.
351 Cowan Rd , Gulfport MS 39507-2019 -
Mid Florida Eye Center Pa
17560 Us Highway 441 , Mount Dora FL 32757-6711 -
Finger Lakes Ophthalmology, Pc
325 West St , Canandaigua NY 14424-1723 -
Jacksoneye Sc
300 N Milwaukee Ave Suite L, Lake Villa IL 60046 -
Philip Paden Eye Care Center M D
221 Stewart Ave Suite 110, Medford OR 97501 -
Gm Sally Mellgren, M.D. Inc.
3621 Vista Way , Oceanside CA 92056-4522 -
Northshore Eye Care, Ltd
800 N Westmoreland Rd Suite 206, Lake Forest IL 60045-1673