Foreman & Stack Od Pc in Glen Ellyn - Optometrist
Foreman & Stack Od Pc - NPI 1083803050
Foreman & Stack Od Pc is a Optometrist in Glen Ellyn, Illinois. Foreman & Stack Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Foreman & Stack Od Pc is 1083803050. The last update date is 2011-02-16.
Foreman & Stack Od Pc'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 Foreman & Stack Od Pc is 876 Roosevelt Rd, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foreman & Stack Od Pc |
|---|---|
| Address | 876 Roosevelt Rd, Glen Ellyn, Illinois |
| Phone Number | 6304692418 |
| Fax Number | 6304694680 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER OPTO |
|---|---|
| Authorized Official Name | Stack Mary Catherine |
| Credentials | OD |
| Telephone Number | 6304692418 |
NPI Number Detail
| NPI Number | 1083803050 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| 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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What is the Foreman & Stack Od Pc's unique identification number?
The Foreman & Stack Od Pc has been assigned the NPI (National Provider Identifier) Number 1083803050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Foreman & Stack Od Pc is physically located?
The Foreman & Stack Od Pc is situated at the following address: 876 Roosevelt Rd, Glen Ellyn, IL 60137.
What is the Foreman & Stack Od Pc's specialty and taxonomy code?
The Foreman & Stack Od Pc's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date was the 1083803050 assigned to Foreman & Stack Od Pc?
The Foreman & Stack Od Pc was issued its 1083803050 on 2007-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Foreman & Stack Od Pc most recently updated or revised?
The information pertaining to Foreman & Stack Od Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-16.
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