Organization
EYE Q OPTIQUE AT IMD, INC.
Active
Other names
EYE Q OPTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NARMINA GUSEYNOVA (PRESIDENT)
(847) 404-7647
Entity
Organization
Contact information
Practice address
709 S. SEELEY AVE., CHICAGO, IL 60612
(312) 872-0201
(847) 589-1375
Mailing address
722 S BUFFALO GROVE RD, BUFFALO GROVE, IL 60089-3708
(847) 404-7647
(847) 589-1375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
07/13/2020
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