Ticho Eye Associates

LBN: Suburban Eye Specialists
Ticho Eye Associates is an health care organization with primary practice located at 10436 Southwest Hwy Ste 101 , Chicago Ridge IL 60415-2282. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometric Technician, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Suburban Eye Specialists can be contacted via phone (708) 586-4922, or through Ticho, Benjamin via phone (708) 586-4922.

Contact Information

Primary practice address
10436 Southwest Hwy Ste 101 Chicago Ridge IL 60415-2282
Phone: (708) 586-4922
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ticho, Benjamin Doctor of Medicine (MD)
Phone: (708) 586-4922

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometric Technician 156FX1202X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1043794506
LBN Legal business name Suburban Eye Specialists
DBA Doing business as Ticho Eye Associates
Authorized official Ticho, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2018
Last updated Oct 26th, 2023 - about last year

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 1043794506 NPPES
Illinois MEDICAID 300622839
Illinois MEDICAID 300016721

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