MEDICARE: ACCU-VISION CENTER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046.006829	IL

General Provider Information

NPI Number	:	1114167541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCU-VISION CENTER INC.

Provider Business Mailing Address
First Line	:	1914 E GRAND AVE
Second Line	:
City	:	LINDENHURST
State	:	IL
Zip	:	60046-7822
Country	:	US
Telephone Number	:	847-356-2020
Fax Number	:	847-356-5051

Provider Business Practice Location Address
First Line	:	2183 N IL ROUTE 83
Second Line	:
City	:	ROUND LAKE BEACH
State	:	IL
Zip	:	60073-4906
Country	:	US
Telephone Number	:	847-223-2020
Fax Number	:	847-223-0020

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES D. DOHERTY
Credential	:	OD
Telephone Number	:	847-274-6000

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	04/30/2025

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