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NPI Code Detail

MEDICARE: THE EYE CARE CENTER, LTD.

MEDICARE: THE EYE CARE CENTER, LTD.
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
1152W00000XOptometrist046-009852IL
2152W00000XOptometrist046-009577IL
3261QM2500XMedical Specialty Clinic/Center
4332H00000XEyewear Supplier046006541IL

General Provider Information

NPI Number : 1144325358
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE EYE CARE CENTER, LTD.
Provider Business Mailing Address
First Line : 8525 S HARLEM AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-2293
Country : US
Telephone Number : 708-599-0050
Fax Number : 708-599-1099
Provider Business Practice Location Address
First Line : 8525 S HARLEM AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-2293
Country : US
Telephone Number : 708-599-0050
Fax Number : 708-599-1099
Authorized Official
Title or Position : ASSOCIATE
Name : DR. DONNA G. CARVER
Credential : DO
Telephone Number : 708-599-0050
Provider Enumeration Date : 09/13/2006
Last Update Date : 02/17/2023

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Directions to “THE EYE CARE CENTER, LTD. ” Practice Location

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