GREAT LAKES RETINA PLLC NPI 1629878079

NPI Details

GREAT LAKES RETINA, PLLC is an ophthalmology in Arlington Heights, 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. GREAT LAKES RETINA, PLLC NPI is 1629878079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3438 N OLD ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL
ZIP 60004-552
Phone: (847) 551-0049
Fax: (847) 787-1657

The provider's authorized official is Omar Mohamed Hassan .
The authorized official title is Physician and has the following contact phone number (847) 551-0049.

The CLIA number assigned to this NPI record is 14D2117223 - other - research clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2025 and was last updated on 3/15/2025.

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: