Da Vinci Vision Boutique
LBN: Galileo Optical Co.
Da Vinci Vision Boutique is an health care organization with primary practice located at 1449 W Fullerton Ave , Chicago IL 60614-8027. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Galileo Optical Co. can be contacted via phone (773) 549-2020, or through Arenella, Salvatore via phone (773) 549-2020.
Contact Information
Primary practice address
1449 W Fullerton Ave
Chicago IL 60614-8027
Phone: (773) 549-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1861823361 |
|---|---|
| LBN Legal business name | Galileo Optical Co. |
| DBA Doing business as | Da Vinci Vision Boutique |
| Authorized official | Arenella, Salvatore |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 9th, 2013 |
| Last updated | Jan 9th, 2015 - about 10 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 | 1861823361 | NPPES |
| Illinois | MEDICAID | 363768679002 |
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