Healthcare Provider Details

I. General information

NPI: 1366368656
Provider Name (Legal Business Name): BUY CONTACT LENSES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7146 N HARLEM AVE
CHICAGO IL
60631-1017
US

IV. Provider business mailing address

7146 N HARLEM AVE 7146 N HARLEM AVE
CHICAGO IL
60631-1017
US

V. Phone/Fax

Practice location:
  • Phone: 773-694-5164
  • Fax: 773-775-3939
Mailing address:
  • Phone: 773-694-5164
  • Fax: 773-775-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANGIE GHANAYEM
Title or Position: OPTOMETRIST, OWNER
Credential: OD
Phone: 773-694-5164