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NPI Code Detail

MEDICARE: A & P OPTICAL, INC.

MEDICARE: A & P OPTICAL, 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
1152W00000XOptometrist046-006615IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11769OTHERILPTAN

General Provider Information

NPI Number : 1841432010
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & P OPTICAL, INC.
Provider Business Mailing Address
First Line : 5248 TORREY PINE CIR
Second Line :
City : LONG GROVE
State : IL
Zip : 60047-5219
Country : US
Telephone Number : 847-521-0771
Fax Number : 847-634-0598
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 : PRESIDENT
Name : DR. PETER JAY EPSTEIN
Credential : OD
Telephone Number : 847-521-0771
Provider Enumeration Date : 04/02/2009
Last Update Date : 04/15/2015

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Directions to “A & P OPTICAL, INC. ” Practice Location

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