DUPAGE MEDICAL GROUP LTD. NPI 1558509927

NPI Information

NPI: 1558509927
Provider Name: DUPAGE MEDICAL GROUP, LTD.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 14D2158034

Address:
808 RICKERT DR
201
NAPERVILLE, IL
ZIP 60540
Phone: (630) 322-8300
Get Directions

DUPAGE MEDICAL GROUP, LTD. is an eyewear supplier in Naperville, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DUPAGE MEDICAL GROUP, LTD. NPI is 1558509927. The provider is registered as an organization entity type.

The provider's business location address is:

808 RICKERT DR
201
NAPERVILLE, IL
ZIP 60540-905
Phone: (630) 322-8300

The provider's authorized official is Paul Merrick .
The authorized official title is Chairman Of The Board and has the following contact phone number (630) 790-1221.

The CLIA number assigned to this NPI record is 14D2158034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2009 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		042-000124	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	568660	OTHER	ILLINOIS	MEDICARE GROUP NUMBER
2	785110	OTHER	ILLINOIS	MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »