Organization
ELGIN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND BRAND ABO CERT OPTICIAN (MANAGER)
(847) 488-1588
Entity
Organization
Contact information
Practice address
840 SUMMIT ST, SUITE G, ELGIN, IL 60120-4300
(847) 488-1588
(847) 628-2320
Mailing address
840 SUMMIT ST, SUITE G, ELGIN, IL 60120-4300
(847) 488-1588
(847) 628-2320
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5502-6052
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EE25556
SPECTERA
IL
01
—
ELGINEYECARE
MIDAMERICA VISION
IL
01
—
OP1280
EYEMED VISION CARE
IL
01
—
SVS1641
SUPERIOR VISION
IL
Enumeration date
03/01/2007
Last updated
08/22/2020
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