MEDICARE: BEST VISION OPTOMETRY 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	261Q00000X	Clinic/Center	3288-9100	IL

General Provider Information

NPI Number	:	1598951535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST VISION OPTOMETRY INC

Provider Business Mailing Address
First Line	:	865 ELMHURST RD
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-5605
Country	:	US
Telephone Number	:	847-437-1005
Fax Number	:

Provider Business Practice Location Address
First Line	:	865 ELMHURST RD
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-5605
Country	:	US
Telephone Number	:	847-437-1005
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. SHELLEY S. KIM
Credential	:
Telephone Number	:	847-437-1005

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	08/11/2015

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