Jacksoneye Sc is a Ophthalmology in Lake Villa, Illinois. Jacksoneye Sc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jacksoneye Sc is 1073669834. The last update date is 2020-08-22.
Jacksoneye Sc's current location address is 300 N Milwaukee Ave, Lake Villa, Illinois. You can contact this provider via phone number 8473560700 and fax number 8473560700. The mailing address for Jacksoneye Sc is 300 N Milwaukee Ave, Lake Villa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksoneye Sc |
|---|---|
| Address | 300 N Milwaukee Ave, Lake Villa, Illinois |
| Phone Number | 8473560700 |
| Fax Number | 8473560700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO OWNER |
|---|---|
| Authorized Official Name | Jackson Alin Mitchell |
| Credentials | MD |
| Telephone Number | 8473560700 |
NPI Number Detail
| NPI Number | 1073669834 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 N Milwaukee Ave |
|---|---|
| City | Lake Villa |
| State | Illinois (IL) |
| Post Code | 60046 |
| Phone Number | 8473560700 |
| Fax Number | 8473560700 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4932263 | IL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacksoneye Sc?
The Jacksoneye Sc has been issued the NPI (National Provider Identifier) 1073669834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacksoneye Sc's facilities are geographically located?
The facilities of Jacksoneye Sc are physically situated at the following location: 300 N Milwaukee Ave, Lake Villa, IL, 60046.
What is the Jacksoneye Sc's specialty and taxonomy code?
The Jacksoneye Sc's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
When did Jacksoneye Sc receive its 1073669834 assignment?
The Jacksoneye Sc was assigned its 1073669834 on 2007-01-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jacksoneye Sc most recently updated?
The details pertaining to the Jacksoneye Sc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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