Healthcare Provider Details

I. General information

NPI: 1104973668
Provider Name (Legal Business Name): AMERICA'S BEST CONTACTS & EYEGLASSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 N. NARRAGANSETT AVE STE. F4-F5
CHICAGO IL
60639-1083
US

IV. Provider business mailing address

296 GRAYSON HIGHWAY
LAWRENCEVILLE GA
30046
US

V. Phone/Fax

Practice location:
  • Phone: 773-622-2405
  • Fax: 772-622-2913
Mailing address:
  • Phone: 800-571-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: LEAHANN VAUGHN
Title or Position: MANAGED CARE SALES COORDINATOR
Credential:
Phone: 678-892-3760