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ADVANCED EYE CARE SC NPI 1831154947


NPI Information

NPI: 1831154947
Provider Name: ADVANCED EYE CARE SC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 14D0913063

Address:
1870 SILVER CROSS BLVD
SUITE 110
NEW LENOX, IL
ZIP 60451
Phone: (815) 485-2727
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ADVANCED EYE CARE SC is an ophthalmology in New Lenox, IL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ADVANCED EYE CARE SC NPI is 1831154947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1870 SILVER CROSS BLVD
SUITE 110
NEW LENOX, IL
ZIP 60451-639
Phone: (815) 485-2727
Fax: (815) 485-3034

The provider's authorized official is Timothy A Kisla .
The authorized official title is Owner and has the following contact phone number (815) 485-2727.

The CLIA number assigned to this NPI record is 14D0913063 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 3/19/2024.


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
1207W00000XOphthalmology036097974ILLINOISYes

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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