Unknown Individual – Optometrist, NPI 1962581306
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East 162nd Street, South Holland, Thornton Township, Cook County, Illinois, 60467, United States
SOUTH HOLLAND, IL 604732560
Phone: (708) 339-4040
Fax: (708) 339-3989
Mailing address matches the actual address.
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60473)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL |
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