MEDICARE: FRANKLIN EYE CARE, LLC

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	261QH0100X	Health Service Clinic/Center	46010232	IL

General Provider Information

NPI Number	:	1164952362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN EYE CARE, LLC

Provider Business Mailing Address
First Line	:	111 S FRANKLIN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-4628
Country	:	US
Telephone Number	:	847-527-9189
Fax Number	:	312-929-4213

Provider Business Practice Location Address
First Line	:	111 S FRANKLIN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-4628
Country	:	US
Telephone Number	:	847-527-9189
Fax Number	:	312-929-4213

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC DREY
Credential	:	OD
Telephone Number	:	847-527-9189

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	04/27/2023

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