Mill Creek Eye Care LTD Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0460081190 Issued in IL

Legal business name

MILL CREEK EYE CARE LTD INC.

Practice address

8713 Flint LN
Orland Park, IL 60462-1490

Phone

(708) 710-5608

NPI assigned

Nov 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerard Prchal, MD

Title

Owner

Phone

(708) 710-5608

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1801076591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604820451",
            "telephone_number": "708-710-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 FLINT LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621490",
            "telephone_number": "708-710-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK EYE CARE LTD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "PRCHAL",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-710-5608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0460081190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.