Healthcare Provider Details

I. General information

NPI: 1346377991
Provider Name (Legal Business Name): ALAN OPTICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W DUNDEE RD SUITE 14-15
BUFFALO GROVE IL
60089-3415
US

IV. Provider business mailing address

400 W DUNDEE RD STE 14-15
BUFFALO GROVE IL
60089-3415
US

V. Phone/Fax

Practice location:
  • Phone: 847-459-9119
  • Fax: 847-459-8115
Mailing address:
  • Phone: 847-459-9119
  • Fax: 847-459-8115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number060004934
License Number StateIL

VIII. Authorized Official

Name: DR. KEITH MIHALY
Title or Position: PRESIDENT
Credential: O.D.
Phone: 847-459-9119