Healthcare Provider Details

I. General information

NPI: 1245356153
Provider Name (Legal Business Name): UHLEMANN OPTICAL COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 E 55TH ST
CHICAGO IL
60615-5550
US

IV. Provider business mailing address

2600 BEVERLY DR UNIT 102
AURORA IL
60502-8005
US

V. Phone/Fax

Practice location:
  • Phone: 773-667-0024
  • Fax: 773-667-0218
Mailing address:
  • Phone: 630-585-6100
  • Fax: 630-585-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD L. IWINSKI JR.
Title or Position: EXEC VICE PRESIDENT
Credential:
Phone: 630-585-6100