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General NPI Number Information
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NPI Number | 1689591075
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Entity Type | Organization
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Legal Business Name | HASAN VISION CARE PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 820 E TERRA COTTA AVE STE 253
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-3655
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Country | US
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Telephone | 630-785-7816
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Fax |
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Provider Business Mailing Address
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Address Line | 5 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60566-1101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/PROVIDER
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Name | SHAADAN HASAN
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Credential | OD
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Telephone | 630-785-7816
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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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