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NPI Code Detail

MEDICARE: RASA EYECARE & VISION GROUP INC

MEDICARE: RASA EYECARE & VISION GROUP 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
1152W00000XOptometrist046010144IL

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 : 1841550761
Entity Type Code : Organization
Provider Name (Legal Business Name) : RASA EYECARE & VISION GROUP INC
Provider Business Mailing Address
First Line : 2551 75TH ST
Second Line :
City : DARIEN
State : IL
Zip : 60561-4301
Country : US
Telephone Number : 708-489-6951
Fax Number : 708-489-8012
Provider Business Practice Location Address
First Line : 4700 135TH ST
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1405
Country : US
Telephone Number : 708-489-6951
Fax Number : 708-489-8012
Authorized Official
Title or Position : OWNER
Name : RASA THARP
Credential :
Telephone Number : 630-528-0808
Provider Enumeration Date : 05/24/2012
Last Update Date : 10/02/2025

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Directions to “RASA EYECARE & VISION GROUP INC ” Practice Location

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