# GUPTA EYE CENTER LLC

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

## Provider details

- **NPI number:** 1902362403
- **Authorized official:** NISHA GUPTA MD (OWNER)
- **Authorized official phone:** (703) 585-3966

## Contact information

- **Practice address:** 310 S COUNTY FARM RD STE B, WHEATON, IL 60187-2409
- **Practice address phone:** (630) 407-1300
- **Mailing address:** 310 S COUNTY FARM RD STE B, WHEATON, IL 60187-2409
- **Mailing address phone:** (630) 407-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2019
- **Last updated:** 05/21/2024