R Clifton Crompton Jr & John M Holicka Ptr

LBN: R Clifton Crompton Jr & John M Holicka Ptr
R Clifton Crompton Jr & John M Holicka Ptr is an health care organization with primary practice located at 4920 N Central Ave , Chicago IL 60630-2338. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. R Clifton Crompton Jr & John M Holicka Ptr can be contacted via phone (773) 777-6615, or through Crompton, Clifton via phone (773) 777-6615.

Contact Information

Primary practice address
4920 N Central Ave Chicago IL 60630-2338
Phone: (773) 777-6615
Fax: (773) 777-0177
Website:
Map and Directions
Authorized official contact:
Name: Crompton, Clifton Doctor of Optometry (OD)
Phone: (773) 777-6615

Health care specialties

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

Profile Details

NPI number 1083651871
LBN Legal business name R Clifton Crompton Jr & John M Holicka Ptr
DBA Doing business as
Authorized official Crompton, Clifton Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1083651871 NPPES
Illinois Other 561590 GROUP NUMBER

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