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UNIVERSITY RETINA AND MACULA ASSOCIATES P C NPI 1235124421


NPI Information

NPI: 1235124421
Provider Name: UNIVERSITY RETINA AND MACULA ASSOCIATES P C
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 14D2097902

Address:
6320 159TH ST
SUITE A
OAK FOREST, IL
ZIP 60452
Phone: (708) 687-2222
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UNIVERSITY RETINA AND MACULA ASSOCIATES P C is an ophthalmology in Oak Forest, IL. The provider is 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. UNIVERSITY RETINA AND MACULA ASSOCIATES P C NPI is 1235124421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6320 159TH ST
SUITE A
OAK FOREST, IL
ZIP 60452-776
Phone: (708) 687-2222
Fax: (708) 687-3829

The provider's authorized official is Rama D Jager .
The authorized official title is Owner and has the following contact phone number (708) 687-2222.

The CLIA number assigned to this NPI record is 14D2097902 - other - retina specialists with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 7/21/2022.


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
1207W00000XOphthalmologyILLINOISYes

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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