Organization
ERIC TSENG O.D., PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC TSENG O.D. (PRESIDENT)
(773) 303-8279
Entity
Organization
Contact information
Practice address
9928 S WESTERN AVE, CHICAGO, IL 60643-1831
(773) 303-8279
(773) 681-7119
Mailing address
9928 S WESTERN AVE, CHICAGO, IL 60643-1831
(773) 303-8279
(773) 681-7119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010071
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010071
—
IL
05
—
1629233580
—
IL
01
—
IL2815
PTAN
IL
Enumeration date
04/03/2009
Last updated
04/23/2026
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