Crystal Lake Optical Inc.

LBN: Crystal Lake Optical Inc.
Crystal Lake Optical Inc. is an health care organization with primary practice located at 6314 Northwest Hwy , Crystal Lake IL 60014-7935. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Crystal Lake Optical Inc. can be contacted via phone (815) 459-4074, or through Surowiak, Richard via phone (815) 459-4074.

Contact Information

Primary practice address
6314 Northwest Hwy Crystal Lake IL 60014-7935
Phone: (815) 459-4074
Fax: (815) 459-4061
Website:
Map and Directions
Authorized official contact:
Name: Surowiak, Richard Doctor of Optometry (OD)
Phone: (815) 459-4074

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1124269030
LBN Legal business name Crystal Lake Optical Inc.
DBA Doing business as
Authorized official Surowiak, Richard Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2009
Last updated Mar 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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