Myeyedr Optometry Of Illinois, LLC
Optometrist in Chicago, IL. Organization (NPI-2).
NPI number1982124319
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1982124319
- Entity type
- Organization (NPI-2)
- Legal business name
- Myeyedr Optometry Of Illinois, LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2017
- Certification date
- May 26, 2022
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr (Doing Business As)
Practice location
2000 W Addison StChicago, IL 60618-6102
Phone 773-528-3790 · Fax 773-528-9878
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downes
Secretary
7038478899
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