Healthcare Provider Details

I. General information

NPI: 1265653489
Provider Name (Legal Business Name): BEMARK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6560 W FULLERTON AVE SUITE C-118, PEARLE VISION
CHICAGO IL
60707-3439
US

IV. Provider business mailing address

6560 W FULLERTON AVE SUITE C-118, PEARLE VISION
CHICAGO IL
60707-3439
US

V. Phone/Fax

Practice location:
  • Phone: 773-745-1767
  • Fax: 773-745-0127
Mailing address:
  • Phone: 773-745-1767
  • Fax: 773-745-0127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number1610-4625
License Number StateIL

VIII. Authorized Official

Name: MR. JOSHUA ZAVELOVICH
Title or Position: FRANCHISEE
Credential:
Phone: 773-745-1767