Jem Optical Inc
Organization Active NPI Optometrist · Norridge, IL
NPI 1154465151 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1154465151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 046008072 (IL)
- Legal business name
- JEM OPTICAL INC
- Practice address
- 4259 N Harlem Ave
Norridge, IL 60706-1212 - Phone
- (708) 457-2292
- Fax
- (708) 457-1085
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex Marshalkovich, O.D.
- Title
- Optometrist
- Phone
- (708) 457-2292
National Provider Directory
Locations
4259 N Harlem Ave
Norridge, IL 60706
Phone (708) 457-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 046008072 | IL | Yes |
Addresses
Primary practice location
4259 N Harlem Ave
Norridge, IL 60706-1212
Mailing address
4259 N Harlem Ave
Norridge, IL 60706-1212
Phone (708) 457-2292
Other names
- PEARLE VISION EXPRESS
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.