Vintage Eyephoria

LBN: Vintage Eyephoria
Vintage Eyephoria is an health care organization with primary practice located at 4610 N Lincoln Ave , Chicago IL 60625-2008. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Vintage Eyephoria can be contacted via phone (773) 561-0870, or through Carrillo, Teodoro via phone (773) 561-0870.

Contact Information

Primary practice address
4610 N Lincoln Ave Chicago IL 60625-2008
Phone: (773) 561-0870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrillo, Teodoro
Phone: (773) 561-0870

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 41564499 Illinois

Profile Details

NPI number 1740649078
LBN Legal business name Vintage Eyephoria
DBA Doing business as
Authorized official Carrillo, Teodoro
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2016
Last updated Feb 15th, 2016 - about 10 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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