Suburban Optometric Group, P.C.

LBN: Suburban Optometric Group, P.C.
Suburban Optometric Group, P.C. is an health care organization with primary practice located at 10001 W 143Rd St , Orland Park IL 60462-2026. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Suburban Optometric Group, P.C. can be contacted via phone (708) 349-2600, or through Zahara, Maggie M via phone (708) 349-2600.

Contact Information

Primary practice address
10001 W 143Rd St Orland Park IL 60462-2026
Phone: (708) 349-2600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zahara, Maggie M
Phone: (708) 349-2600

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 060.007985 Illinois

Profile Details

NPI number 1235275652
LBN Legal business name Suburban Optometric Group, P.C.
DBA Doing business as
Authorized official Zahara, Maggie M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 30th, 2007
Last updated May 20th, 2008 - about 16 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 1235275652 NPPES
Illinois Other DA8522 RR MEDICARE GROUP

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