Mark Takesuye, Od, Llc

LBN: Mark Takesuye, Od, Llc
Mark Takesuye, Od, Llc is an health care organization with primary practice located at 3232 W Bryn Mawr Ave , Chicago IL 60659-3606. The organization recently has 4 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 / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is the primary health care specialty. Mark Takesuye, Od, Llc can be contacted via phone (773) 588-4433, or through Takesuye, Mark via phone (773) 588-4433.

Contact Information

Primary practice address
3232 W Bryn Mawr Ave Chicago IL 60659-3606
Phone: (773) 588-4433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Takesuye, Mark Doctor of Optometry (OD)
Phone: (773) 588-4433

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 / Pediatrics 152WP0200X
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1811457179
LBN Legal business name Mark Takesuye, Od, Llc
DBA Doing business as
Authorized official Takesuye, Mark Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2019 - 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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