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NPI Code Detail

MEDICARE: BIRD'S EYE OPTOMETRY, LTD

MEDICARE: BIRD'S EYE OPTOMETRY, LTD
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1316143373
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRD'S EYE OPTOMETRY, LTD
Provider Business Mailing Address
First Line : 9450 JOLIET RD
Second Line :
City : HODGKINS
State : IL
Zip : 60525-4156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9450 JOLIET RD
Second Line :
City : HODGKINS
State : IL
Zip : 60525-4156
Country : US
Telephone Number : 708-387-2190
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JENNIFER L. GEERTZ
Credential : O.D.
Telephone Number : 708-387-2190
Provider Enumeration Date : 06/26/2007
Last Update Date : 07/29/2009

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Directions to “BIRD'S EYE OPTOMETRY, LTD ” Practice Location

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