Fahy, Timothy J
Fahy, Timothy J is an sole proprietor health care provider with primary practice located at 5943 W Montrose Ave , Chicago IL 60634-1629. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Fahy, Timothy J can be contacted via phone (773) 685-0363.Contact Information
Primary practice address
5943 W Montrose Ave
Chicago IL 60634-1629
Phone: (773) 685-0363
Fax: (773) 685-0944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-007793 | Illinois |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046-007793 | Illinois |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 046-007793 | Illinois |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 046-007793 | Illinois |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 046007793 | Illinois |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 046007793 | Illinois |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 046007793 | Illinois |
Profile Details
| NPI number | 1952423139 |
|---|---|
| LBN Legal business name | Fahy, Timothy J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Apr 30th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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