Healthcare Provider Details

I. General information

NPI: 1578341152
Provider Name (Legal Business Name): ASKAR OPTOMETRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 N CENTRAL AVE STE 1B
CHICAGO IL
60630-2341
US

IV. Provider business mailing address

1004 N FISCHER DR
ADDISON IL
60101-1232
US

V. Phone/Fax

Practice location:
  • Phone: 773-777-6615
  • Fax: 773-777-0177
Mailing address:
  • Phone: 847-903-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARIA R ASKAR
Title or Position: OWNER, OPTOMETRIST
Credential: OD
Phone: 847-903-4510