Unknown Individual – Optometrist, NPI 1457400301
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
21668 W RAVINE DR
LAKE ZURICH, IL 600478889
Phone: (847) 550-1317
Fax: (630) 893-0420
Type: Mailing
Stratford Square Mall, Pemberton Way, Bloomingdale, DuPage County, Illinois, 60108, United States
BLOOMINGDALE, IL 601082202
Phone: (630) 893-7608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL |
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