Lakeside Eye Clinic Inc

LBN: Lakeside Eye Clinic Inc
Lakeside Eye Clinic Inc is an health care organization with primary practice located at 104 S Michigan Ave 410, Chicago IL 60603-5902. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Lakeside Eye Clinic Inc can be contacted via phone (312) 553-1818, or through Carrasco, Ernesto via phone (312) 553-1818.

Contact Information

Primary practice address
104 S Michigan Ave 410 Chicago IL 60603-5902
Phone: (312) 553-1818
Fax: (312) 641-5503
Website:
Map and Directions
Authorized official contact:
Name: Carrasco, Ernesto
Phone: (312) 553-1818

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Illinois

Profile Details

NPI number 1871794362
LBN Legal business name Lakeside Eye Clinic Inc
DBA Doing business as
Authorized official Carrasco, Ernesto
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Aug 22nd, 2020 - about 5 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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