Loretta L De Koster in Elmwood Park - Optometrist

Loretta L De Koster - NPI 1316028723

Loretta L De Koster is a Optometrist in Elmwood Park, Illinois. Loretta L De Koster practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Loretta L De Koster is 1316028723. The last update date is 2018-07-05.

Loretta L De Koster's current location address is 2500 N. Harlem Ave, Elmwood Park, Illinois. You can contact this provider via phone number 7084564362 and fax number 7084565161. The mailing address for Loretta L De Koster is 2500 N. Harlem Ave, Elmwood Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Loretta L De Koster
Address 2500 N. Harlem Ave, Elmwood Park, Illinois
Phone Number 7084564362
Fax Number 7084565161
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1316028723
Provider Enumeration Date 2006-10-19
Last Updated Date 2018-07-05

Provider Mailing Address Detail

Address 2500 N. Harlem Ave
City Elmwood Park
State Illinois (IL)
Post Code 607072020
Phone Number 7084564362
Fax Number 7084565161

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 46008683
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
1621057 IL BLUE CROSS BLUE SHIELD
6375 IL DAVIS VISION
IL4407 IL MEDICARE PTAN
1316028723 IL LORETTA DE KOSTER NPI
113869 IL EYE CARE PLAN OF AMERICA
1992982169 IL NPI #1992982169 LORETTA DE KOS

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FAQs about Loretta L De Koster

What is the unique identification code assigned to Loretta L De Koster by the Centers for Medicare & Medicaid Services?

The Loretta L De Koster has been issued the NPI (National Provider Identifier) 1316028723. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Loretta L De Koster?

The Loretta L De Koster is physically situated at 2500 N. Harlem Ave, in the city of Elmwood Park, state of IL, with the postal code 607072020.

What is Loretta L De Koster's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Loretta L De Koster is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1316028723 to Loretta L De Koster?

The Centers for Medicare & Medicaid Services originally issued the 1316028723 to Loretta L De Koster on 2006-10-19.

When was the information related to Loretta L De Koster most recently updated or refreshed?

The details pertaining to the Loretta L De Koster, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-07-05.

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