| Doctor Name: | DR. ANTHONY J PRASNIKAR |
| NPI Number: | 1053413930 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | 046-007544 |
| Business Practice Address: | 6321 Fairview Ave Suite A Westmont, IL - 605592886 |
| Business Phone Number: | 6308520102 |
| Business Fax Number: | 6308520260 |
| Mailing Address: | 6321 Fairview Ave, Suite A WESTMONT |
| State: | IL |
| Postal Code: | 605592886 |
| Phone Number: | 6308520102 |
| Fax Number: | 6308520260 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 02/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 046-007544 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |