Elgin Family Eye Care

LBN: Susan M Penner
Elgin Family Eye Care is an health care organization with primary practice located at 363 S Randall Rd , Elgin IL 60123. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Susan M Penner can be contacted via phone (847) 888-1555, or through Penner, Susan M via phone (815) 734-6500.

Contact Information

Primary practice address
363 S Randall Rd Elgin IL 60123
Phone: (847) 888-1555
Fax: (847) 888-2508
Website:
Map and Directions
Authorized official contact:
Name: Penner, Susan M Doctor of Optometry (OD)
Phone: (815) 734-6500

Health care specialties

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

Profile Details

NPI number 1508088683
LBN Legal business name Susan M Penner
DBA Doing business as Elgin Family Eye Care
Authorized official Penner, Susan M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated May 20th, 2008 - about 17 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 1508088683 NPPES
Illinois Other 0253870001 MEDICARE SUPPLIER
Illinois Other 0253870002 MEDICARE SUPPLIER
Illinois Other 4515286 MEDICARE SUPPLIER

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