Healthcare Provider Details

I. General information

NPI: 1811823990
Provider Name (Legal Business Name): ROBERT B SCOTT OCULARISTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10510 W CERMAK RD
WESTCHESTER IL
60154-5202
US

IV. Provider business mailing address

10510 W CERMAK RD
WESTCHESTER IL
60154-5202
US

V. Phone/Fax

Practice location:
  • Phone: 312-782-3558
  • Fax: 312-379-2235
Mailing address:
  • Phone: 312-782-3558
  • Fax: 312-379-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: HENRY BLUM
Title or Position: PRESIDENT
Credential:
Phone: 312-782-3558