Encore Optical Inc
Organization Active NPI Optometrist · Norridge, IL
NPI 1477899490 · NPPES record last updated Dec 19, 2012
Key facts
- NPI
- 1477899490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 046009922 (IL)
- Legal business name
- ENCORE OPTICAL INC
- Practice address
- 4259 N Harlem Ave
Norridge, IL 60706-1212 - Phone
- (708) 457-2292
- NPI assigned
- Dec 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Alisa Kart
- Title
- Owner
- Phone
- (708) 457-2292
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 046009922 | 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046009922 | Medicaid | IL |
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 Dec 19, 2012. 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.