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Organization

BRIDGEPORT EYE CARE, LLC

Active
Other names
Miami Optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AVALON HINDMAN OD (PRESIDENT/ OWNER)
(773) 890-1100
Entity
Organization

Contact information

Practice address
3125 S ASHLAND AVE STE 204, CHICAGO, IL 60608-6231
(773) 890-1100
Mailing address
3125 S ASHLAND AVE STE 204, CHICAGO, IL 60608-6231
(773) 890-1100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010771
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046010771
IL
01
1912314477
OPTOMETRY NPI
IL
Enumeration date
05/24/2018
Last updated
03/16/2026
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