Unknown Individual – Optometrist, NPI 1639294101
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1212 N LA SALLE DR
#2010
CHICAGO, IL 606108027
Phone: (312) 822-3399
Fax: (708) 656-0856
Type: Mailing
2305 S CICERO AVE
CICERO, IL 608042451
Phone: (708) 656-0500
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60610)
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