Healthcare Provider Details

I. General information

NPI: 1407053432
Provider Name (Legal Business Name): CARY OPTICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 PARK AVE
CARY IL
60013-2793
US

IV. Provider business mailing address

155 PARK AVE
CARY IL
60013-2793
US

V. Phone/Fax

Practice location:
  • Phone: 847-639-7446
  • Fax: 847-639-5854
Mailing address:
  • Phone: 847-639-7446
  • Fax: 847-639-5854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS CANDEE HELENE OSBORNE
Title or Position: PRESIDENT
Credential:
Phone: 847-639-7446