Organization Name: | WHEATON EYE CLINIC LTD |
NPI Number: | 1588647101 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH D WILLIAMS (PRESIDENT) |
Mailing Address: | 2015 N Main St Wheaton |
State: | IL US |
Postal Code: | 601873152 |
Phone Number: | 6306688250 |
Fax Number: | 6306688916 |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |