Healthcare Provider Details

I. General information

NPI: 1609878040
Provider Name (Legal Business Name): PATRICIA A STEINER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GENEVA EYE CLINIC LTD 302 RANDALL RD STE 10
GENEVA IL
60134
US

IV. Provider business mailing address

GENEVA EYE CLINIC LTD 302 RANDALL RD STE 10
GENEVA IL
60134
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-1282
  • Fax: 630-232-7011
Mailing address:
  • Phone: 630-232-7011
  • Fax: 630-232-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046-008186
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: