Mapleshade Vision Center Inc. in Dunlap - Optometrist
Mapleshade Vision Center Inc. - NPI 1891820312
Mapleshade Vision Center Inc. is a Optometrist in Dunlap, Illinois. Mapleshade Vision Center Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mapleshade Vision Center Inc. is 1891820312. The last update date is 2007-08-01.
Mapleshade Vision Center Inc.'s current location address is 11825 State Route 40, Dunlap, Illinois. You can contact this provider via phone number 3092435900 and fax number 3092439852. The mailing address for Mapleshade Vision Center Inc. is 11825 State Route 40, Dunlap, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mapleshade Vision Center Inc. |
|---|---|
| Address | 11825 State Route 40, Dunlap, Illinois |
| Phone Number | 3092435900 |
| Fax Number | 3092439852 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moushon Wayne Gaylan |
| Credentials | O.D. |
| Telephone Number | 3092435900 |
NPI Number Detail
| NPI Number | 1891820312 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 11825 State Route 40 |
|---|---|
| City | Dunlap |
| State | Illinois (IL) |
| Post Code | 615258842 |
| Phone Number | 3092435900 |
| Fax Number | 3092439852 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 460088755 |
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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 |
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What is the Mapleshade Vision Center Inc.'s unique identification number?
The Mapleshade Vision Center Inc. has been assigned the NPI (National Provider Identifier) Number 1891820312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mapleshade Vision Center Inc.'s facilities are geographically located?
The facilities of Mapleshade Vision Center Inc. are physically situated at the following location: 11825 State Route 40, Dunlap, IL, 615258842.
What is the Mapleshade Vision Center Inc.'s specialty and taxonomy code?
The Mapleshade Vision Center Inc.'s specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date was the 1891820312 assigned to Mapleshade Vision Center Inc.?
The Mapleshade Vision Center Inc. was issued its 1891820312 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mapleshade Vision Center Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mapleshade Vision Center Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-01.