Homer Glen Vision Source Llc

LBN: Homer Glen Vision Source Llc
Homer Glen Vision Source Llc is an health care organization with primary practice located at 15933 S Bell Rd , Homer Glen IL 60491-6707. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Homer Glen Vision Source Llc can be contacted via phone (708) 301-3101, or through Gardner, John J. via phone (708) 301-3101.

Contact Information

Primary practice address
15933 S Bell Rd Homer Glen IL 60491-6707
Phone: (708) 301-3101
Fax: (708) 301-3141
Website:
Map and Directions
Authorized official contact:
Name: Gardner, John J. Doctor of Optometry (OD)
Phone: (708) 301-3101

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-006455 Illinois

Profile Details

NPI number 1437486362
LBN Legal business name Homer Glen Vision Source Llc
DBA Doing business as
Authorized official Gardner, John J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2009
Last updated Nov 13th, 2009 - about 15 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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