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GERSTEIN EYE INSTITUTE NPI 1720283195


NPI Information

NPI: 1720283195
Provider Name: GERSTEIN EYE INSTITUTE

Former Legal Business Name: NORTHSHORE EYE ASSOC OPITCAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 14D2162037

Address:
3042 WEST PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 973-3223
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GERSTEIN EYE INSTITUTE is an eyewear supplier in Chicago, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GERSTEIN EYE INSTITUTE NPI is 1720283195. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northshore Eye Assoc Opitcal.

The provider's business location address is:

3042 WEST PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 973-3223
Fax: (773) 973-1119

The provider's authorized official is Danelle Torres .
The authorized official title is Practice Administrator and has the following contact phone number (773) 973-3223.

The CLIA number assigned to this NPI record is 14D2162037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 12/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

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

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