MEDICARE: SOLO EYE CARE & EYEWEAR GALLERY, 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	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001635576	OTHER	IL	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1396968459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLO EYE CARE & EYEWEAR GALLERY, LLC

Provider Business Mailing Address
First Line	:	1444 S MICHIGAN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-4827
Country	:	US
Telephone Number	:	312-588-5999
Fax Number	:	312-588-0599

Provider Business Practice Location Address
First Line	:	1444 S MICHIGAN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-4827
Country	:	US
Telephone Number	:	312-588-5999
Fax Number	:	312-588-0599

Authorized Official
Title or Position	:	OWNER / DOCTOR
Name	:	ROBERT JOHN STEINMETZ
Credential	:	OD
Telephone Number	:	312-588-5999

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	03/02/2021

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Directions to “SOLO EYE CARE & EYEWEAR GALLERY, LLC ” Practice Location

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