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DOLTON OPTOMETRIC CENTER P.C. NPI 1205957149


NPI Information

NPI: 1205957149
Provider Name: DOLTON OPTOMETRIC CENTER, P.C.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
14223 CHICAGO RD
DOLTON, IL
ZIP 60419
Phone: (708) 849-0690
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DOLTON OPTOMETRIC CENTER, P.C. is a medical specialty clinic center in Dolton, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DOLTON OPTOMETRIC CENTER, P.C. NPI is 1205957149. The provider is registered as an organization entity type.

The provider's business location address is:

14223 CHICAGO RD
DOLTON, IL
ZIP 60419-203
Phone: (708) 849-0690
Fax: (708) 849-0344

The provider's authorized official is James B Levinson .
The authorized official title is President and has the following contact phone number (708) 849-0690.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 2/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty046-0074685ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10143480001MEDICARE NSCILLINOIS
2CF2117MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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