# PROGRESSIVE EYE CARE SC

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

## Provider details

- **NPI number:** 1811097728
- **Authorized official:** MS. PATRICIA LOUISE DAVIS M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (630) 527-1920

## Contact information

- **Practice address:** 3100 OGDEN AVE, LISLE, IL 60532-1603
- **Practice address phone:** (630) 527-1920
- **Practice address fax:** (630) 527-0125
- **Mailing address:** 3100 OGDEN AVE, LISLE, IL 60532-1603
- **Mailing address phone:** (630) 527-1920

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 10/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02222972 | BLUE CROSS BLUE SHIELD | IL |