Healthcare Provider Details

I. General information

NPI: 1477676914
Provider Name (Legal Business Name): ACCU-VISION CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 E GRAND AVE
LINDENHURST IL
60046-7822
US

IV. Provider business mailing address

1914 E GRAND AVE
LINDENHURST IL
60046-7822
US

V. Phone/Fax

Practice location:
  • Phone: 847-356-2020
  • Fax: 847-356-5051
Mailing address:
  • Phone: 847-356-2020
  • Fax: 847-356-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAMES D. DOHERTY
Title or Position: OWNER
Credential: OD
Phone: 847-274-6000