Arseneau Optical of Kankakee Inc
Organization Active NPI Optician · Kankakee, IL
NPI 1801987367 · NPPES record last updated Jul 3, 2013
Key facts
- NPI
- 1801987367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- ARSENEAU OPTICAL OF KANKAKEE INC
- Practice address
- 135 W Court St
Kankakee, IL 60901 - Phone
- (815) 933-5798
- Fax
- (815) 929-5760
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary Trost
- Title
- Pres Optician
- Phone
- (815) 933-5798
National Provider Directory
Locations
135 W Court St
Kankakee, IL 60901
Phone (708) 710-5608
135 W Court St
#104
Kankakee, IL 60901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist |
156F00000X | |||
| Contact Lens Technician/Technologist |
156FC0800X | |||
| Optician |
156FX1800X | Yes |
Addresses
Primary practice location
135 W Court St
Kankakee, IL 60901
Mailing address
135 W Court St
Kankakee, IL 60901
Phone (815) 933-5798
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL1521 | Other | IL | MEDICARE PTAN |
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2013. 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.