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GLEN ELLYN VISION CENTER PC NPI 1588727663


NPI Information

NPI: 1588727663
Provider Name: GLEN ELLYN VISION CENTER PC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 14D1098861

Address:
440 N MAIN ST
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 469-4141
Get Directions

GLEN ELLYN VISION CENTER PC is an optometrist in Glen Ellyn, IL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GLEN ELLYN VISION CENTER PC NPI is 1588727663. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

440 N MAIN ST
GLEN ELLYN, IL
ZIP 60137-124
Phone: (630) 469-4141
Fax: (630) 469-2015

The provider's authorized official is Martin J Sikorski .
The authorized official title is President and has the following contact phone number (630) 469-4141.

The CLIA number assigned to this NPI record is 14D1098861 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 5/18/2010.


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
1152WC0802XOptometristCorneal and Contact Management046.006197ILLINOISNo
2152WP0200XOptometristPediatrics046.006197ILLINOISNo
3152WV0400XOptometristVision Therapy046.006197ILLINOISNo
4152W00000XOptometrist046.006197ILLINOISYes

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
1U82851MEDICARE UPINILLINOIS
2U52073MEDICARE UPINILLINOIS
3203488MEDICARE ID-TYPE UNSPECIFIEDILLINOISDR JEFFREY MEYERS
40449300001MEDICARE NSCILLINOIS
5T37481MEDICARE UPINILLINOIS
6354800MEDICARE ID-TYPE UNSPECIFIEDILLINOISDR CHERYL MEYERS
7651040MEDICARE ID-TYPE UNSPECIFIEDILLINOISDR MARTIN SIKORSKI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.