Lincoln Square Optical

LBN: Lincoln Square Optical
Lincoln Square Optical is an health care organization with primary practice located at 2501 W Lawrence Ave , Chicago IL 60625-2958. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Lincoln Square Optical can be contacted via phone (773) 931-3839, or through Ethezaz, Mariam via phone (773) 931-3839.

Contact Information

Primary practice address
2501 W Lawrence Ave Chicago IL 60625-2958
Phone: (773) 931-3839
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ethezaz, Mariam Doctor of Optometry (OD)
Phone: (773) 931-3839

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X
Eye and Vision Services Providers / Pediatrics 152WP0200X
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1346716768
LBN Legal business name Lincoln Square Optical
DBA Doing business as
Authorized official Ethezaz, Mariam Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2018
Last updated Oct 23rd, 2018 - about 6 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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