Catherine M Stack in Glen Ellyn - Optometrist
Catherine M Stack - NPI 1578607156
Catherine M Stack is a Optometrist in Glen Ellyn, Illinois. Catherine M Stack practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Catherine M Stack is 1578607156. The last update date is 2011-02-16.
Catherine M Stack's current location address is 876 Roosevelt Rd, Glen Ellyn, Illinois. You can contact this provider via phone number 6304692418 and fax number 6304694680. The mailing address for Catherine M Stack is 876 Roosevelt Rd, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine M Stack |
|---|---|
| Address | 876 Roosevelt Rd, Glen Ellyn, Illinois |
| Phone Number | 6304692418 |
| Fax Number | 6304694680 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1578607156 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
| Address | 876 Roosevelt Rd |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 60137 |
| Phone Number | 6304692418 |
| Fax Number | 6304694680 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46007738 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083803050 | GROUP NPI |
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What is the Catherine M Stack's unique identification number?
The Catherine M Stack has been assigned the NPI (National Provider Identifier) Number 1578607156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Catherine M Stack is physically located?
The Catherine M Stack is physically situated at the following address: 876 Roosevelt Rd, Glen Ellyn, IL, 60137.
What is Catherine M Stack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Catherine M Stack's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578607156 to Catherine M Stack?
The Catherine M Stack received its 1578607156 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the Catherine M Stack's details last updated?
The information pertaining to the Catherine M Stack, including its address, specialty, and other details, was most recently updated on 2011-02-16.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH