# FAMILY EYE PHYSICIANS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730252230
- **Authorized official:** MOHAMMAD AL-KHUDARI MD (PRESIDENT)
- **Authorized official phone:** (708) 636-9393

## Contact information

- **Practice address:** 6201 W 95TH ST, OAK LAWN, IL 60453-2701
- **Practice address phone:** (708) 636-9393
- **Practice address fax:** (708) 636-2022
- **Mailing address:** 6201 W 95TH ST, OAK LAWN, IL 60453-2701
- **Mailing address phone:** (708) 636-9393
- **Mailing address fax:** (708) 636-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 046009744 | IL | — |
| 207W00000X | Ophthalmology Physician | 036103747 | IL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 02/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001633597 | BCBS PROVIDER ID | IL |
| 01 | — | 120602 | ADVOCATE HLTH PARTNERS ID | IL |
| 01 | — | 125181500 | US DEPT OF LABOR | IL |
| 01 | — | B0830165 | EYEFINITY CLEARING HOUSE | IL |