Lisa Tung Od Inc

LBN: Eye Doc Inc
Lisa Tung Od Inc is an health care organization with primary practice located at 16020 Harlem Ave , Tinley Park IL 60477-1612. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Doc Inc can be contacted via phone (708) 614-6849, or through Tung, Lisa via phone (708) 614-6849.

Contact Information

Primary practice address
16020 Harlem Ave Tinley Park IL 60477-1612
Phone: (708) 614-6849
Fax: (708) 614-6864
Website:
Map and Directions
Authorized official contact:
Name: Tung, Lisa
Phone: (708) 614-6849

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009552 Illinois

Profile Details

NPI number 1942500350
LBN Legal business name Eye Doc Inc
DBA Doing business as Lisa Tung Od Inc
Authorized official Tung, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2010
Last updated Feb 14th, 2019 - about 6 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 1942500350 NPPES
Illinois MEDICAID 0460009552

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