Organization
MARVIN H HEIMLICH,OD
Active
Other names
BUFFALO GROVE EYE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN HAROLD HEIMLICH O.D. (OWNER)
(847) 541-1184
Entity
Organization
Contact information
Practice address
313 W DUNDEE RD, BUFFALO GROVE EYE CARE CENTER, BUFFALO GROVE, IL 60089-3545
(847) 541-1184
(847) 541-1194
Mailing address
313 W DUNDEE RD, BUFFALO GROVE EYE CARE CENTER, BUFFALO GROVE, IL 60089-3545
(847) 541-1184
(847) 541-1194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618333
BLUE CROSS/BLUE SHIELD
IL
01
—
3405394
AETNA
IL
01
—
IL7448-002
EYEMED VISION CARE
IL
Enumeration date
11/02/2006
Last updated
03/08/2011
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