MARK TAKESUYE OD LLC NPI 1811457179

NPI Information

  • NPI: 1811457179
  • Provider Name: MARK TAKESUYE, OD, LLC
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • Address: 3232 W BRYN MAWR AVE
    CHICAGO, IL
    ZIP 60659
  • Phone: (773) 588-4433

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NPI Details

MARK TAKESUYE, OD, LLC is a vision therapy optometrist in Chicago, IL. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. MARK TAKESUYE, OD, LLC NPI is 1811457179. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3232 W BRYN MAWR AVE
CHICAGO, IL
ZIP 60659-606
Phone: (773) 588-4433

The provider's authorized official is Mark Takesuye .
The authorized official title is Optometrist and has the following contact phone number (773) 588-4433.

The enumeration date for this NPI number is 3/22/2019 and was last updated on 3/22/2019.

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
1152W00000XOptometristNo
2152WC0802XOptometristCorneal and Contact ManagementNo
3152WP0200XOptometristPediatricsNo
4152WV0400XOptometristVision TherapyYes

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: 11/21/2025

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