Nelsen Eyecare Inc
LBN: Nelsen Eyecare Inc
Nelsen Eyecare Inc is an health care organization with primary practice located at 1100 S Randall Rd , Elgin IL 60123-4109. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Nelsen Eyecare Inc can be contacted via phone (847) 468-9777, or through Nelsen, Maria Jean via phone (630) 762-0689.
Contact Information
Primary practice address
1100 S Randall Rd
Elgin IL 60123-4109
Phone: (847) 468-9777
Fax: (847) 468-1557
Website:
Authorized official contact:
Name: Nelsen, Maria Jean Doctor of Optometry (OD)
Phone: (630) 762-0689
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008742 | Illinois |
Profile Details
NPI number | 1770695371 |
---|---|
LBN Legal business name | Nelsen Eyecare Inc |
DBA Doing business as | |
Authorized official | Nelsen, Maria Jean Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jan 4th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770695371 | NPPES |
Illinois | MEDICAID | 046008742 | |
Illinois | Other | 03419 |
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