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NPI Code Detail

MEDICARE: EYEGUYZ III, LTD

MEDICARE: EYEGUYZ III, 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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1851520233
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYEGUYZ III, LTD
Provider Business Mailing Address
First Line : 2305 WILLOW RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-7637
Country : US
Telephone Number : 847-832-9690
Fax Number : 847-832-9691
Provider Business Practice Location Address
First Line : 2305 WILLOW RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-7637
Country : US
Telephone Number : 847-832-9690
Fax Number : 847-832-9691
Authorized Official
Title or Position : PROFESSIONAL OPERATIONS, DIRECTOR
Name : MS. TRERESA MCDONALD
Credential :
Telephone Number : 800-514-3894
Provider Enumeration Date : 07/07/2009
Last Update Date : 12/28/2010

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Directions to “EYEGUYZ III, LTD ” Practice Location

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