A&a Vision Inc
Organization Active NPI Optometrist · Oak Park, IL
NPI 1871867697 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1871867697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 046009172 (IL)
- Legal business name
- A&A VISION INC
- Practice address
- 603 Madison St
Oak Park, IL 60302-4437 - Phone
- (708) 383-2150
- Fax
- (708) 383-2553
- NPI assigned
- Feb 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Alex Tan, OD
- Title
- Owner
- Phone
- (708) 383-2150
Practitioners 2
-
Alex R Tan, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120606000451 | IL | Part B Supplier - Clinic/Group Practice | 7517121387 |
Receives reassigned benefits from 2 practitioners Practice locations: Oak Park, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 046009172 | IL | Yes |
Addresses
Primary practice location
603 Madison St
Oak Park, IL 60302-4437
Mailing address
603 Madison St
Oak Park, IL 60302-4437
Phone (708) 383-2150
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.