# WHEATON EYE CLINIC LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHEATON EYE CLINIC, LTD
- **Other names:** Wheaton Eye Clinic, Naperville Optical Department
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497730790
- **Legal business name:** WHEATON EYE CLINIC, LTD
- **Authorized official:** LISA WHITE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (630) 588-3630

## Contact information

- **Practice address:** 604 RAYMOND DR, NAPERVILLE, IL 60563-9788
- **Practice address phone:** (630) 668-8250
- **Practice address fax:** (630) 668-8916
- **Mailing address:** 2015 N MAIN ST, WHEATON, IL 60187-3152
- **Mailing address phone:** (630) 668-8250
- **Mailing address fax:** (630) 668-8916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 12/08/2005
- **Last updated:** 11/20/2024