=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417172347
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SEE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 835 N MICHIGAN AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-2203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-884-8500
-----------------------------------------------------
Fax | 312-884-8502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 835 N MICHIGAN AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-2203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-884-8500
-----------------------------------------------------
Fax | 312-884-8502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | MARY E WALKER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-663-6300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------