Dolton Optometric Center, P.C. in Dolton - Medical Specialty
Dolton Optometric Center, P.C. - NPI 1205957149
Dolton Optometric Center, P.C. is a Medical Specialty in Dolton, Illinois. Dolton Optometric Center, P.C. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Dolton Optometric Center, P.C. is 1205957149. The last update date is 2010-02-11.
Dolton Optometric Center, P.C.'s current location address is 14223 Chicago Rd, Dolton, Illinois. You can contact this provider via phone number 7088490690 and fax number 7088490344. The mailing address for Dolton Optometric Center, P.C. is 14223 Chicago Rd, Dolton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dolton Optometric Center, P.C. |
|---|---|
| Address | 14223 Chicago Rd, Dolton, Illinois |
| Phone Number | 7088490690 |
| Fax Number | 7088490344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Levinson B James |
| Credentials | O.D., F.A. |
| Telephone Number | 7088490690 |
NPI Number Detail
| NPI Number | 1205957149 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2010-02-11 |
Provider Mailing Address Detail
| Address | 14223 Chicago Rd |
|---|---|
| City | Dolton |
| State | Illinois (IL) |
| Post Code | 604191203 |
| Phone Number | 7088490690 |
| Fax Number | 7088490344 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 046-0074685 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique 10-digit identification code issued to Dolton Optometric Center, P.C. by the Centers for Medicare & Medicaid Services?
The Dolton Optometric Center, P.C. has been assigned the NPI (National Provider Identifier) 1205957149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dolton Optometric Center, P.C.'s physical address?
The Dolton Optometric Center, P.C. is physically located at 14223 Chicago Rd, in the city of Dolton, IL, with the postal code 604191203.
What is Dolton Optometric Center, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dolton Optometric Center, P.C. is Medical Specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205957149 to Dolton Optometric Center, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1205957149 to Dolton Optometric Center, P.C. on 2007-04-02.
As of what date were the Dolton Optometric Center, P.C.'s details last updated?
The information pertaining to the Dolton Optometric Center, P.C., including its address, specialty, and other details, was most recently updated on 2010-02-11.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC