Glen Ellyn Family Eye Care Llc

LBN: Glen Ellyn Family Eye Care Llc
Glen Ellyn Family Eye Care Llc is an health care organization with primary practice located at 510 N Main St , Glen Ellyn IL 60137-5104. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Glen Ellyn Family Eye Care Llc can be contacted via phone (630) 858-3937, or through Panos, Tom via phone (708) 710-0005.

Contact Information

Primary practice address
510 N Main St Glen Ellyn IL 60137-5104
Fax:
Website:
Authorized official contact:
Name: Panos, Tom Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1366043382
LBN Legal business name Glen Ellyn Family Eye Care Llc
DBA Doing business as
Authorized official Panos, Tom Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2020
Last updated Nov 5th, 2020 - about 4 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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