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General NPI Number Information
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NPI Number | 1568685923
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Entity Type | Organization
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Legal Business Name | ORTIZ EYE ASSOCIATES, P. C.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 880 BEDFORD RD
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City | MORRIS
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State | IL
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Zip | 60450-1209
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Country | US
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Telephone | 815-942-5500
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Fax | 815-942-1851
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Provider Business Mailing Address
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Address Line | 880 BEDFORD RD
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City | MORRIS
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State | IL
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Zip | 60450-1209
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Country | US
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Telephone | 815-942-5500
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Fax | 815-942-1851
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY P ORTIZ
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Credential | O. D.
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Telephone | 815-942-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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