Midwest Eye Center
Ophthalmology in Calumet City, IL. Organization (NPI-2).
NPI number1790746428
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1790746428
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Eye Center
- Organization subpart
- No
- Enumeration date
- Mar 31, 2006
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – | |
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – |
Other names
- Midwest Eye Center, S.C. (Doing Business As)
Practice location
1700 E West RdCalumet City, IL 60409-5415
Phone 708-891-3330 · Fax 708-891-0904
Mailing address
1700 E West RdCalumet City, IL 60409-5415
Phone 708-891-3330 · Fax 708-891-0904
Authorized official
George L Neal
Chief Executive Officer
4692140144
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