Keno Optical

LBN: Industrial Optical Service, Inc.
Keno Optical is an health care organization with primary practice located at 29 E Madison St Suite 808, Chicago IL 60602-4404. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Industrial Optical Service, Inc. can be contacted via phone (773) 736-6800, or through Lieberman, Daniel via phone (773) 736-6800.

Contact Information

Primary practice address
29 E Madison St Suite 808 Chicago IL 60602-4404
Phone: (773) 736-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lieberman, Daniel Doctor of Optometry (OD)
Phone: (773) 736-6800

Health care specialties

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

Profile Details

NPI number 1396895421
LBN Legal business name Industrial Optical Service, Inc.
DBA Doing business as Keno Optical
Authorized official Lieberman, Daniel Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated May 15th, 2008 - about 16 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 1396895421 NPPES
Illinois Other 7235044 AETNA
Illinois Other 1636706 AETNA

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