Physician Compare National (NPI:1952312878)

HEALTHCARE PROVIDER: DENNIS LEWINSON O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952312878
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941480297
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110203000987
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEWINSON
	Individual professional last name
Provider First Name	DENNIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2 W GRAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	FOX LAKE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600201250
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8475870901
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M