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14D2163631 CLIA NUMBER - PEDIATRIC EYE ASSOCIATES, P C

Laboratory Demographics

CLIA Number: 14D2163631

Facility Name: PEDIATRIC EYE ASSOCIATES, P C

Facility Address:
3612 LAKE AVE - 2C
WILMETTE, IL
ZIP 60091
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Facility Phone Number: 847 256-2020

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1710924857

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 14D2163631
LAB Type Physician Office
Facility Name PEDIATRIC EYE ASSOCIATES, P C
Street 3612 LAKE AVE - 2C
City WILMETTE
State IL
ZIP 60091
Phone 847 256-2020
CertificateType 4
CertificateEffectiveDate 3/19/2023
CertificateExpirationDate 3/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024