MEDICARE: SHVARTSMAN EYECARE PC

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	152WC0802X	Corneal and Contact Management Optometrist		IL

General Provider Information

NPI Number	:	1093902686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHVARTSMAN EYECARE PC

Provider Business Mailing Address
First Line	:	323 17TH ST
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-3223
Country	:	US
Telephone Number	:	847-853-0763
Fax Number	:	847-251-9880

Provider Business Practice Location Address
First Line	:	120 SKOKIE BLVD
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-3050
Country	:	US
Telephone Number	:	847-251-3330
Fax Number	:	847-251-9580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DEANNE LYNNE SHVARTSMAN
Credential	:	O.D.
Telephone Number	:	847-853-0763

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	11/27/2007

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