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WHEATON EYE CLINIC LTD NPI 1588647101


NPI Information

NPI: 1588647101
Provider Name: WHEATON EYE CLINIC LTD

Other Name: WHEATON OPTICAL DEPARTMENT

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 14D2104999

Address:
2015 N MAIN ST
WHEATON, IL
ZIP 60187
Phone: (630) 668-8250
Get Directions

WHEATON EYE CLINIC LTD is an eyewear supplier in Wheaton, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WHEATON EYE CLINIC LTD NPI is 1588647101. The provider is registered as an organization entity type.
The provider Other Name Is Wheaton Optical Department.

The provider's business location address is:

2015 N MAIN ST
WHEATON, IL
ZIP 60187-152
Phone: (630) 668-8250
Fax: (630) 668-8916

The provider's authorized official is Ruth D Williams .
The authorized official title is President and has the following contact phone number (630) 668-8250.

The CLIA number assigned to this NPI record is 14D2104999 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2005 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
1332H00000XEyewear SupplierILLINOISYes

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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