Organization
THE OPTOMETRISTS, P.C.
Active
Other names
The Optometrists of the North Shore
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J HENDERSON O.D. (OWNER/OPERATOR)
(847) 498-4770
Entity
Organization
Contact information
Practice address
1544 SHERMER RD, NORTHBROOK, IL 60062-5347
(847) 498-4770
(847) 498-6909
Mailing address
1544 SHERMER RD, NORTHBROOK, IL 60062-5347
(847) 498-4770
(847) 498-6909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060-008788
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636744
BCBS
IL
Enumeration date
10/17/2006
Last updated
08/26/2022
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