Illinois Eye Institute

LBN: Illinois College Of Optometry
Illinois Eye Institute is an health care organization with primary practice located at 3241 S Michigan Avenue , Chicago IL 60616-3878. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Illinois College Of Optometry can be contacted via phone (312) 225-6200, or through Colip, Mark via phone (312) 949-7701.

Contact Information

Primary practice address
3241 S Michigan Avenue Chicago IL 60616-3878
Phone: (312) 225-6200
Fax: (312) 949-7660
Website:
Map and Directions
Authorized official contact:
Name: Colip, Mark Doctor of Optometry (OD)
Phone: (312) 949-7701

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 8720518 Illinois

Profile Details

NPI number 1285612390
LBN Legal business name Illinois College Of Optometry
DBA Doing business as Illinois Eye Institute
Authorized official Colip, Mark Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 8th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285612390 NPPES
Illinois Other 502720 MEDICARE PTAN
Illinois Other CD4768 MEDICARE PTAN

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