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NPI 1811823990

NPI 1811823990 : ROBERT B SCOTT OCULARISTS LTD : WESTCHESTER, IL

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General NPI Number Information
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    NPI Number           |    1811823990
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT B SCOTT OCULARISTS LTD 
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Dates
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    Enumeration Date     |    06/18/2026
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    Last Update Date     |    06/18/2026
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Provider Practice Location Address
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    Address Line         |    10510 W CERMAK RD 
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    City                 |    WESTCHESTER
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    State                |    IL
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    Zip                  |    60154-5202
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    Country              |    US
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    Telephone            |    312-782-3558
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    Fax                  |    312-379-2235
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Provider Business Mailing Address
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    Address Line         |    10510 W CERMAK RD 
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    City                 |    WESTCHESTER
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    State                |    IL
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    Zip                  |    60154-5202
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    Country              |    US
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    Telephone            |    312-782-3558
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    Fax                  |    312-379-2235
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HENRY  BLUM 
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    Credential           |    
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    Telephone            |    312-782-3558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    156FX1700X
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    Taxonomy Name        |    Ocularist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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