MEDICARE: INDUSTRIAL OPTICAL SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1636706	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1063562064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDUSTRIAL OPTICAL SERVICE INC

Provider Business Mailing Address
First Line	:	2146 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4397
Country	:	US
Telephone Number	:	773-675-7867
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4397
Country	:	US
Telephone Number	:	773-675-7867
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	CARRIE ROITSTEIN
Credential	:	O.D.
Telephone Number	:	312-673-7192

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	11/05/2012

Similar Medicare Providers

1083769202 — LUNA MEDICAL, INC.
Practice Location Address:

4397 N ELSTON AVE
CHICAGO, IL
60641-2147

Practice Phone: 800-380-4339
Practice Fax: 888-696-0299

1861965154 — MR. MARK EDWARD ONEAL ATC
Practice Location Address:

1060 W ADDISON ST
CHICAGO, IL
60613-4397

Practice Phone: 773-404-4221
Practice Fax:

1790411262 — ALLI GRIMM
Practice Location Address:

1060 W ADDISON ST
CHICAGO, IL
60613-4397

Practice Phone: 507-313-6468
Practice Fax:

1851192231 — MILLA LUBIS LCSW PLLC
Practice Location Address:

6516 S MINERVA AVE APT 2N
CHICAGO, IL
60637-4397

Practice Phone: 630-708-8945
Practice Fax:

1285565655 — JANE FLOTTE LCSW, PLLC
Practice Location Address:

1000 W DIVERSEY PKWY STE 275
CHICAGO, IL
60614-1879

Practice Phone: 312-373-0450
Practice Fax:

1114858396 — GAINING CLARITY NOW COUNSELING
Practice Location Address:

2400 N LAKEVIEW AVE APT 807
CHICAGO, IL
60614-2734

Practice Phone: 708-646-6272
Practice Fax:

Directions to “INDUSTRIAL OPTICAL SERVICE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.