Spencer Eye Care Ltd

LBN: Spencer Eye Care Ltd
Spencer Eye Care Ltd is an health care organization with primary practice located at 4949 W Irving Park Rd Suite E, Chicago IL 60641-2655. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Spencer Eye Care Ltd can be contacted via phone (773) 237-4774, or through Spencer, Mark David via phone (773) 237-4774.

Contact Information

Primary practice address
4949 W Irving Park Rd Suite E Chicago IL 60641-2655
Phone: (773) 237-4774
Fax: (773) 202-9909
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Mark David Doctor of Optometry (OD)
Phone: (773) 237-4774

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.008177 Illinois

Profile Details

NPI number 1780859306
LBN Legal business name Spencer Eye Care Ltd
DBA Doing business as
Authorized official Spencer, Mark David Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780859306 NPPES
Illinois MEDICAID 046008177

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