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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043794506 | NPPES |
| Illinois | MEDICAID | 300622839 | |
| Illinois | MEDICAID | 300016721 |
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