Charles S Kefalas in Chicago - Optometrist

Charles S Kefalas - NPI 1780753939

Charles S Kefalas is a Optometrist in Chicago, Illinois. Charles S Kefalas practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Charles S Kefalas is 1780753939. The last update date is 2010-07-09.

Charles S Kefalas's current location address is 4256 W 63rd St, Chicago, Illinois. You can contact this provider via phone number 7735820660 and fax number 7735820859. The mailing address for Charles S Kefalas is 4256 W 63rd St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles S Kefalas
Address 4256 W 63rd St, Chicago, Illinois
Phone Number 7735820660
Fax Number 7735820859
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1780753939
Provider Enumeration Date 2006-11-06
Last Updated Date 2010-07-09

Provider Mailing Address Detail

Address 4256 W 63rd St
City Chicago
State Illinois (IL)
Post Code 606295037
Phone Number 7735820660
Fax Number 7735820859

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 46008568
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46008568 IL --
L83487 IL RETIRED RAILROAD MEDICARE

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FAQs about Charles S Kefalas

What is the unique 10-digit identifier code assigned to Charles S Kefalas by the Centers for Medicare & Medicaid Services?

The Charles S Kefalas has been issued the NPI (National Provider Identifier) 1780753939 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Charles S Kefalas is geographically located?

The Charles S Kefalas is physically situated at the following location: 4256 W 63Rd St, Chicago, IL, 606295037.

What is Charles S Kefalas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles S Kefalas is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780753939 to Charles S Kefalas?

The Centers for Medicare & Medicaid Services assigned the 1780753939 to Charles S Kefalas on 2006-11-06.

As of what date were the Charles S Kefalas's details last updated?

The information pertaining to the Charles S Kefalas, including its address, specialty, and other details, was most recently updated on 2010-07-09.

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