Buena Vista Optical, P.C. in Chicago - Eyewear Supplier

Buena Vista Optical, P.C. - NPI 1740464296

Buena Vista Optical, P.C. is a Eyewear Supplier in Chicago, Illinois. Buena Vista Optical, P.C. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Buena Vista Optical, P.C. is 1740464296. The last update date is 2013-09-11.

Buena Vista Optical, P.C.'s current location address is 6455 S Kedzie Ave, Chicago, Illinois. You can contact this provider via phone number 7738639234 and fax number 7738639274. The mailing address for Buena Vista Optical, P.C. is 6455 S Kedzie Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Buena Vista Optical, P.C.
Address 6455 S Kedzie Ave, Chicago, Illinois
Phone Number 7738639234
Fax Number 7738639274
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sims Todd
Credentials O.D.
Telephone Number 7738639234

NPI Number Detail

NPI Number 1740464296
Provider Enumeration Date 2007-12-19
Last Updated Date 2013-09-11

Provider Mailing Address Detail

Address 6455 S Kedzie Ave
City Chicago
State Illinois (IL)
Post Code 606292829
Phone Number 7738639234
Fax Number 7738639274

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 046-009243
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Buena Vista Optical, P.C.

What is the unique 10-digit identification code assigned to Buena Vista Optical, P.C. by the Centers for Medicare & Medicaid Services?

The Buena Vista Optical, P.C. has been issued the NPI (National Provider Identifier) 1740464296, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Buena Vista Optical, P.C. is physically located?

The Buena Vista Optical, P.C. is situated at the following address: 6455 S Kedzie Ave, Chicago, IL 606292829.

What is Buena Vista Optical, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Buena Vista Optical, P.C. is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740464296 to Buena Vista Optical, P.C.?

The Buena Vista Optical, P.C. received its 1740464296 assignment from the Centers for Medicare & Medicaid Services on 2007-12-19.

When was the information regarding Buena Vista Optical, P.C. most recently updated?

The details pertaining to the Buena Vista Optical, P.C., including its address, specialty, and other relevant information, were last refreshed on 2013-09-11.

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