Healthcare Provider Details

I. General information

NPI: 1235859612
Provider Name (Legal Business Name): ZACHARIA ASKAR OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
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:
Mailing address:
  • Phone: 847-903-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number046011684
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number046011684
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046011684
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: