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SPECTRIOS INSTITUTE FOR LOW VISION NPI 1033215447


NPI Information

NPI: 1033215447
Provider Name: SPECTRIOS INSTITUTE FOR LOW VISION

Former Legal Business Name: DEICKE CENTER FOR VISUAL REHABILITATION

Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
219 E COLE AVE
WHEATON, IL
ZIP 60187
Phone: (630) 690-7115
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SPECTRIOS INSTITUTE FOR LOW VISION is a low vision rehabilitation optometrist in Wheaton, IL. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. SPECTRIOS INSTITUTE FOR LOW VISION NPI is 1033215447. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Deicke Center For Visual Rehabilitation.

The provider's business location address is:

219 E COLE AVE
WHEATON, IL
ZIP 60187
Phone: (630) 690-7115
Fax: (630) 690-9037

The provider's authorized official is R Tracy Williams .
The authorized official title is Executive Director and has the following contact phone number (630) 690-7115.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 1/23/2015.


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
1152WL0500XOptometristLow Vision RehabilitationYes

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
10002221432OTHERBLUE CROSS BLUE SHIELD
2IL2385MEDICARE 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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