Healthcare Provider Details

I. General information

NPI: 1518881259
Provider Name (Legal Business Name): PREFECT VISION EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8517 W FOSTER AVE
CHICAGO IL
60656-2999
US

IV. Provider business mailing address

3535 N NORA AVE
CHICAGO IL
60634-3618
US

V. Phone/Fax

Practice location:
  • Phone: 773-717-6457
  • Fax:
Mailing address:
  • Phone: 773-717-6457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KASEM KASEM
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 773-717-6457