Healthcare Provider Details

I. General information

NPI: 1891995668
Provider Name (Legal Business Name): FAMILY VISION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8065 W 95TH ST
HICKORY HILLS IL
60457-2241
US

IV. Provider business mailing address

8065 W 95TH ST
HICKORY HILLS IL
60457-2241
US

V. Phone/Fax

Practice location:
  • Phone: 708-237-2020
  • Fax: 708-237-2210
Mailing address:
  • Phone: 708-237-2020
  • Fax: 708-237-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number0468268
License Number StateIL

VIII. Authorized Official

Name: DR. FRANK ZAKER
Title or Position: OWNER/PRESIDENT
Credential: O.D.
Phone: 708-237-2020