Healthcare Provider Details

I. General information

NPI: 1982900585
Provider Name (Legal Business Name): AP EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2011
Last Update Date: 01/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GOLF MILL CTR
NILES IL
60714-1220
US

IV. Provider business mailing address

1938 JESSICA LN
NORTHBROOK IL
60062-5876
US

V. Phone/Fax

Practice location:
  • Phone: 847-299-1366
  • Fax: 847-824-4836
Mailing address:
  • Phone: 847-702-7746
  • Fax: 312-577-0965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALLA PASMAN
Title or Position: DR. OF OPTOMETRY
Credential:
Phone: 847-702-7746