Healthcare Provider Details

I. General information

NPI: 1124950522
Provider Name (Legal Business Name): WELLS & VISION OPTOMETRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 N WELLS ST
CHICAGO IL
60654-3521
US

IV. Provider business mailing address

740 N WELLS ST
CHICAGO IL
60654-3521
US

V. Phone/Fax

Practice location:
  • Phone: 312-702-0240
  • Fax: 312-736-8232
Mailing address:
  • Phone: 312-702-0240
  • Fax: 312-736-8232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GRETA GREGG
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 847-962-5451