Faron, Charles A
Faron, Charles A is an individual health care provider with primary practice located at 806 Central Ave Suite 300, Highland Park IL 60035-5613. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Faron, Charles A can be contacted via phone (847) 432-6010.Contact Information
Primary practice address
806 Central Ave Suite 300
Highland Park IL 60035-5613
Phone: (847) 432-6010
Fax: (847) 432-8241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046008232 | Illinois |
Profile Details
| NPI number | 1740265933 |
|---|---|
| LBN Legal business name | Faron, Charles A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Mar 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740265933 | NPPES |
| Illinois | Other | 01618233 | BCBS |
| Illinois | MEDICAID | 046008232 | BCBS |
| Illinois | Other | 01618235 | BCBS |
| Illinois | Other | 04915295 | BCBS |
| Illinois | Other | 410039326 | BCBS |
| Illinois | Other | 410039327 | BCBS |
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