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GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD. NPI 1316065881


NPI Information

NPI: 1316065881
Provider Name: GLEN ELLYN OPHTHALMOLOGY ASSOCIATES, LTD.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
45 S PARK BLVD
SUITE 375
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 858-4660
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GLEN ELLYN OPHTHALMOLOGY ASSOCIATES, LTD. is an ophthalmology in Glen Ellyn, 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. GLEN ELLYN OPHTHALMOLOGY ASSOCIATES, LTD. NPI is 1316065881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 S PARK BLVD
SUITE 375
GLEN ELLYN, IL
ZIP 60137-280
Phone: (630) 858-4660
Fax: (630) 858-9511

The provider's authorized official is Mary A Sullivan .
The authorized official title is Practice Manager and has the following contact phone number (630) 858-4660.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 1/23/2015.


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
1207W00000XOphthalmologyYes

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
10888960001MEDICARE NSCILLINOIS
2=========6013702MEDICAIDILLINOIS
3CB0740MEDICARE ID-TYPE UNSPECIFIEDILLINOISRAILROAD MEDICARE
4CB0740OTHERILLINOISRAILROAD MEDICARE
5993220MEDICARE 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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