Healthcare Provider Details

I. General information

NPI: 1265650311
Provider Name (Legal Business Name): ARON B. KATZ O.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SHERMER RD STE 212
NORTHBROOK IL
60062-5340
US

IV. Provider business mailing address

1290 SHERMER RD
NORTHBROOK IL
60062-4567
US

V. Phone/Fax

Practice location:
  • Phone: 847-564-1290
  • Fax: 847-509-2020
Mailing address:
  • Phone: 847-564-1290
  • Fax: 847-509-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ARON B. KATZ
Title or Position: PRESIDENT
Credential: O.D.
Phone: 847-564-1290