MEDICARE: WELLS & VISION OPTOMETRY, PLLC

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

General Provider Information

NPI Number	:	1124950522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLS & VISION OPTOMETRY, PLLC

Provider Business Mailing Address
First Line	:	740 N WELLS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-3521
Country	:	US
Telephone Number	:	312-702-0240
Fax Number	:	312-736-8232

Provider Business Practice Location Address
First Line	:	740 N WELLS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-3521
Country	:	US
Telephone Number	:	312-702-0240
Fax Number	:	312-736-8232

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	GRETA GREGG
Credential	:	OD
Telephone Number	:	847-962-5451

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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