# SIMPSON EYE ASSOCIATES LTD

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

## Provider details

- **NPI number:** 1851348601
- **Authorized official:** DR. KENNETH VICTOR MELCHIONNA D.O. (CEO)
- **Authorized official phone:** (847) 426-0227

## Contact information

- **Practice address:** 730 E TERRA COTTA AVE, SUITE 2B, CRYSTAL LAKE, IL 60014-3615
- **Practice address phone:** (815) 455-0212
- **Practice address fax:** (815) 455-4903
- **Mailing address:** 650 SPRINGHILL RING RD, SUITE \#2020, WEST DUNDEE, IL 60118-1296
- **Mailing address phone:** (847) 426-0227
- **Mailing address fax:** (847) 426-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 03/05/2009