Av Eye Boutique Inc
Organization Active NPI Point of Service · Wheeling, IL
NPI 1649428640 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1649428640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- Legal business name
- AV EYE BOUTIQUE INC
- Practice address
- 43 Huntington LN
Wheeling, IL 60090-6908 - Phone
- (847) 537-2020
- Fax
- (847) 537-3887
- NPI assigned
- Sep 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Svetlana Muchnik
- Title
- President
- Phone
- (847) 537-2020
Practitioners 2
-
Karina Fulton, O.D
-
Lyudmila P Podberezin, O.D.
National Provider Directory
Locations
43 Huntington Ln
Wheeling, IL 60090
Phone (847) 537-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Yes |
Addresses
Primary practice location
43 Huntington LN
Wheeling, IL 60090-6908
Mailing address
43 Huntington Lane
Wheeling, IL 60090
Phone (847) 537-2020
Other names
- AV Royal Optical
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All providers in Wheeling, IL · Point of Service in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 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.