Professional Eye Center, Pc

LBN: Professional Eye Center, Pc
Professional Eye Center, Pc is an health care organization with primary practice located at 1517 E 53Rd St , Chicago IL 60615-4509. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Professional Eye Center, Pc can be contacted via phone (773) 363-9447, or through Washington, Jeanie C. via phone (773) 363-9447.

Contact Information

Primary practice address
1517 E 53Rd St Chicago IL 60615-4509
Phone: (773) 363-9447
Fax: (773) 363-9675
Website:
Map and Directions
Authorized official contact:
Name: Washington, Jeanie C. O.D., M.P.H.
Phone: (773) 363-9447

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008653 Illinois

Profile Details

NPI number 1417123803
LBN Legal business name Professional Eye Center, Pc
DBA Doing business as
Authorized official Washington, Jeanie C. O.D., M.P.H.
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2008
Last updated Jun 24th, 2009 - about 15 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 1417123803 NPPES
Illinois MEDICAID 046008653

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