1942749791 NPI number — ADVANCED EYECARE SOUTH HOLLAND OD AND ASSOCIATES PC

Table of content: (NPI 1942749791)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942749791 NPI number — ADVANCED EYECARE SOUTH HOLLAND OD AND ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED EYECARE SOUTH HOLLAND OD AND ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADVANCED EYECARE OF SOUTH HOLLAND
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942749791
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
835 E 162ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH HOLLAND
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60473-2465
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-333-4444
Provider Business Mailing Address Fax Number:
708-333-4454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
835 E 162ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH HOLLAND
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60473-2465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-333-4444
Provider Business Practice Location Address Fax Number:
708-333-4454
Provider Enumeration Date:
02/13/2017

Additional Information

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
GRISHMA
Authorized Official Middle Name:
P
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
630-668-4144

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  046009678 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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