Healthcare Provider Details

I. General information

NPI: 1043330418
Provider Name (Legal Business Name): ATKINSON EYE CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 N. HUNTINGTON DRIVE, UNIT A
ALGONQUIN IL
60102-5940
US

IV. Provider business mailing address

2100 N. HUNTINGTON DRIVE, UNIT A
ALGONQUIN IL
60102-5940
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-5700
  • Fax: 847-854-5762
Mailing address:
  • Phone: 847-854-5700
  • Fax: 847-854-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH M. ATKINSON
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 847-854-5700