Podberezin Eye Care Pc

LBN: Podberezin Eye Care Pc
Podberezin Eye Care Pc is an health care organization with primary practice located at 944 Vernon Ct , Vernon Hills IL 60061-1341. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Podberezin Eye Care Pc can be contacted via phone (224) 513-5300, or through Podberezin, Lyudmila P via phone (224) 513-5300.

Contact Information

Primary practice address
944 Vernon Ct Vernon Hills IL 60061-1341
Phone: (224) 513-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Podberezin, Lyudmila P Doctor of Optometry (OD)
Phone: (224) 513-5300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010277 Illinois

Profile Details

NPI number 1619265691
LBN Legal business name Podberezin Eye Care Pc
DBA Doing business as
Authorized official Podberezin, Lyudmila P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2011
Last updated Jul 12th, 2011 - about 13 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 1619265691 NPPES
Illinois MEDICAID 046010277

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