Organization Name: | US VISION OPTICAL INC |
NPI Number: | 1083721674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL R MCPHILLIPS (VP OF VISION CARE) |
Mailing Address: | 1 River Oaks Drive Calumet City |
State: | IL US |
Postal Code: | 60409 |
Phone Number: | 7084184147 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |