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NPI Code Detail

MEDICARE: MIDWEST EYE CENTER

MEDICARE: MIDWEST EYE CENTER
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
1152W00000XOptometrist
2261QA1903XAmbulatory Surgical Clinic/Center
3207W00000XOphthalmology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1141037OTHERILMEDICARE FACILITY
2CN5008OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790746428
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST EYE CENTER
Provider Business Mailing Address
First Line : 1700 E WEST RD
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5415
Country : US
Telephone Number : 708-891-3330
Fax Number : 708-891-0904
Provider Business Practice Location Address
First Line : 1700 E WEST RD
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5415
Country : US
Telephone Number : 708-891-3330
Fax Number : 708-891-0904
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : GEORGE L NEAL
Credential :
Telephone Number : 469-214-0144
Provider Enumeration Date : 03/31/2006
Last Update Date : 02/05/2020

Similar Medicare Providers

1982606950 — MOHAMMED O PERACHA MD
Practice Location Address:
1700 E WEST RD
CALUMET CITY, IL
60409-5415
Practice Phone: 708-891-3330
Practice Fax:
1447243464 — DR. BRENDA SIMONS O.D.
Practice Location Address:
1700 E WEST RD
CALUMET CITY, IL
60409-5415
Practice Phone: 708-891-3330
Practice Fax: 708-891-0904
1265425284 — DR. SRIGURUNATH VANGIPURAM M.D.
Practice Location Address:
1700 E WEST RD
CALUMET CITY, IL
60409-5415
Practice Phone: 708-891-3330
Practice Fax: 708-891-0904
1174516199 — DR. BURTON ZEIGER M.D.
Practice Location Address:
1700 E WEST RD
CALUMET CITY, IL
60409-5415
Practice Phone: 708-891-3330
Practice Fax: 708-891-0904
1629061684 — DR. AFZAL AHMAD M.D.
Practice Location Address:
1700 E WEST RD
CALUMET CITY, IL
60409-5415
Practice Phone: 708-891-3330
Practice Fax: 708-891-0904
1356413173 — DAVID E CAVENDER O.D.
Practice Location Address:
1700 E WEST RD
CALUMET CITY, IL
60409-5415
Practice Phone: 708-891-3330
Practice Fax: 708-891-0904

Directions to “MIDWEST EYE CENTER ” Practice Location

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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.

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