Healthcare Provider Details

I. General information

NPI: 1689591075
Provider Name (Legal Business Name): HASAN VISION CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E TERRA COTTA AVE STE 253
CRYSTAL LAKE IL
60014-3655
US

IV. Provider business mailing address

5 S WASHINGTON ST
NAPERVILLE IL
60566-1101
US

V. Phone/Fax

Practice location:
  • Phone: 630-785-7816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SHAADAN HASAN
Title or Position: OPTOMETRIST/PROVIDER
Credential: OD
Phone: 630-785-7816