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NPI Code Detail

MEDICARE: DR. PETER JAY EPSTEIN OD.

MEDICARE: DR. PETER JAY EPSTEIN OD.
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
1152W00000XOptometrist046-006615IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730256470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER JAY EPSTEIN OD.
Provider Business Mailing Address
First Line : 5248 RFD
Second Line :
City : LONG GROVE
State : IL
Zip : 60047-7353
Country : US
Telephone Number : 847-521-0771
Fax Number : 847-955-9282
Provider Business Practice Location Address
First Line : 335 N MILWAUKEE AVE
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1561
Country : US
Telephone Number : 847-955-9280
Fax Number : 847-955-9282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 04/15/2015

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Directions to “ DR. PETER JAY EPSTEIN OD.” Practice Location

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