Iconic Optical

LBN: Iconic Optical
Iconic Optical is an health care organization with primary practice located at 2915 N Broadway St , Chicago IL 60657-5313. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Iconic Optical can be contacted via phone (773) 857-3328, or through Young, Kevin via phone (773) 857-3328.

Contact Information

Primary practice address
2915 N Broadway St Chicago IL 60657-5313
Phone: (773) 857-3328
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Kevin
Phone: (773) 857-3328

Health care specialties

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

Profile Details

NPI number 1235507179
LBN Legal business name Iconic Optical
DBA Doing business as
Authorized official Young, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 9th, 2015 - about 11 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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