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THE VISION SALON LTD. NPI 1487727046


NPI Information

NPI: 1487727046
Provider Name: THE VISION SALON, LTD.

Doing Business As: VISION SALON EYE CARE ASSOCIATES

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 14D1084737

Address:
12812 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 385-0013
Get Directions

THE VISION SALON, LTD. is an optometrist in Blue Island, IL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. THE VISION SALON, LTD. NPI is 1487727046. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vision Salon Eye Care Associates.

The provider's business location address is:

12812 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406-118
Phone: (708) 385-0013
Fax: (708) 385-1175

The provider's authorized official is Ansel T Johnson .
The authorized official title is President/owner and has the following contact phone number (708) 385-0013.

The CLIA number assigned to this NPI record is 14D1084737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/24/2010.


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
1152W00000XOptometristYes

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
1410011831MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE ID
21636075OTHERILLINOISBCBS OF IL ID
3207702MEDICARE ID-TYPE UNSPECIFIED
4=========OTHERTAX ID
50718670001MEDICARE NSC

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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