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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0757500015	OTHER		MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1636706	OTHER	IL	BCBS
3	7235044	OTHER	IL	AETNA

General Provider Information

NPI Number	:	1548589229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDUSTRIAL OPTICAL SERVICE, INC.

Provider Business Mailing Address
First Line	:	4740 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2247
Country	:	US
Telephone Number	:	773-275-2900
Fax Number	:	773-275-1307

Provider Business Practice Location Address
First Line	:	4740 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2247
Country	:	US
Telephone Number	:	773-275-2900
Fax Number	:	773-275-1307

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

Provider Enumeration Date	:	05/20/2010
Last Update Date	:	12/16/2010

Similar Medicare Providers

1689806192 — B.E.F. ENTERPRISES, INC.
Practice Location Address:

4740 N LINCOLN AVE , #1-SOUTH
CHICAGO, IL
60625-2247

Practice Phone: 773-505-7039
Practice Fax: 773-275-1307

1952766859 — MYEYEDR OPTOMETRY OF ILLINOIS, LLC
Practice Location Address:

4740 N LINCOLN AVE
CHICAGO, IL
60625-2247

Practice Phone: 773-275-2900
Practice Fax: 773-275-1307

1487140596 — CARMEN A RAD
Practice Location Address:

4740 N LINCOLN AVE
CHICAGO, IL
60625-2247

Practice Phone: 773-275-2900
Practice Fax: 773-275-1307

1790392587 — ADRIANA C RISSER OD
Practice Location Address:

4740 N LINCOLN AVE
CHICAGO, IL
60625-2247

Practice Phone: 773-275-2900
Practice Fax: 773-275-1307

1831037530 — DANIELLE MAYA WRIGHT
Practice Location Address:

2247 W LAWRENCE AVE APT 406
CHICAGO, IL
60625-3671

Practice Phone: 818-274-8892
Practice Fax:

1992805782 — DR. CLAUDIA JOHNSON M.D.
Practice Location Address:

8507 S STONY ISLAND AVE
CHICAGO, IL
60617-2247

Practice Phone: 773-978-1400
Practice Fax: 773-978-4389

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.