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ANNMARIE SURDICH-PITRA OD PC NPI 1194055525


NPI Information

NPI: 1194055525
Provider Name: ANNMARIE SURDICH-PITRA OD PC

Doing Business As: OPTOMETRY & EYEWEAR GALLERY

Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization
Address:
1712 OGDEN AVE STE D
LISLE, IL
ZIP 60532
Phone: (630) 541-3169
Get Directions

ANNMARIE SURDICH-PITRA OD PC is a health maintenance organization in Lisle, IL. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. ANNMARIE SURDICH-PITRA OD PC NPI is 1194055525. The provider is registered as an organization entity type.
The provider Is Doing Business As Optometry & Eyewear Gallery.

The provider's business location address is:

1712 OGDEN AVE STE D
LISLE, IL
ZIP 60532-230
Phone: (630) 541-3169
Fax: (630) 541-5140

The provider's authorized official is Annmarie Surdich-pitra .
The authorized official title is Optometrist and has the following contact phone number (630) 541-3169.

The enumeration date for this NPI number is 1/7/2010 and was last updated on 9/16/2010.


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
1302R00000XHealth Maintenance Organization047935871ILLINOISYes

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
1IL3604MEDICARE PINILLINOIS

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: 5/5/2024

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