<Unavail>

LBN: Stockmaster Enterprises Inc
<Unavail> is an health care organization with primary practice located at 9750 Crescent Park Cir 243, Orland Park IL 60462-7540. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Stockmaster Enterprises Inc can be contacted via phone (708) 770-6404, or through Miller, Krystle J via phone (708) 770-6404.

Contact Information

Primary practice address
9750 Crescent Park Cir 243 Orland Park IL 60462-7540
Phone: (708) 770-6404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Krystle J Doctor of Optometry (OD)
Phone: (708) 770-6404

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010696 Illinois

Profile Details

NPI number 1053857078
LBN Legal business name Stockmaster Enterprises Inc
DBA Doing business as <Unavail>
Authorized official Miller, Krystle J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2017
Last updated Jan 13th, 2017 - about 9 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 1053857078 NPPES
Illinois MEDICAID 1578998936

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