Healthcare Provider Details

I. General information

NPI: 1801460928
Provider Name (Legal Business Name): SOLO EYE CARE & EYEWEAR GALLERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E DELAWARE PL
CHICAGO IL
60611-1449
US

IV. Provider business mailing address

1444 S MICHIGAN AVE
CHICAGO IL
60605-4827
US

V. Phone/Fax

Practice location:
  • Phone: 312-588-5999
  • Fax: 312-588-0599
Mailing address:
  • Phone: 312-588-5999
  • Fax: 312-588-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT JOHN STEINMETZ
Title or Position: OWNER / DOCTOR
Credential: OD
Phone: 312-588-5999