Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CRYSTAL CLEAR EYE CARE CLINIC
Active
Organization
CRYSTAL CLEAR EYE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L BAKOVICH (OFFICE MANGER)
(847) 524-1700
Entity
Organization
Contact information
Practice address
1760 WISE, SCHAUMBERG, IL 60193
(847) 524-1700
(847) 524-1702
Mailing address
1760 WISE, SCHAUMBERG, IL 60193
(847) 524-1700
(847) 524-1702
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
046007080
IL
305R00000X
Preferred Provider Organization
047935456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730125451
NPI
IL
01
—
1841370061
NPI
IL
Enumeration date
07/27/2009
Last updated
08/26/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up