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JUCKETT EYE CARE CENTER LTD NPI 1881965523


NPI Information

NPI: 1881965523
Provider Name: JUCKETT EYE CARE CENTER LTD
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
133 S NORTHWEST HWY
PARK RIDGE, IL
ZIP 60068
Phone: (847) 384-2020
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JUCKETT EYE CARE CENTER LTD is an optometrist in Park Ridge, 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. JUCKETT EYE CARE CENTER LTD NPI is 1881965523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

133 S NORTHWEST HWY
PARK RIDGE, IL
ZIP 60068-228
Phone: (847) 384-2020
Fax: (847) 823-2020

The provider's authorized official is Robert Shedd Juckett .
The authorized official title is President and has the following contact phone number (847) 384-2020.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 2/20/2013.


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
1152W00000XOptometrist046007733ILLINOISYes

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
1IL6822MEDICARE 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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