Blank, Roger

Blank, Roger is an individual health care provider with primary practice located at 603 Cortland Dr , Lake Zurich IL 60047-2366. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blank, Roger can be contacted via phone (847) 975-1653.

Contact Information

Primary practice address
603 Cortland Dr Lake Zurich IL 60047-2366
Phone: (847) 975-1653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-007466 Illinois

Profile Details

NPI number 1578619391
LBN Legal business name Blank, Roger
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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