Organization
EYE CARE 4 U, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E FISCH OD (PRESIDENT)
(847) 360-9317
Entity
Organization
Contact information
Practice address
1790 NATIONS DR, SUITE 214, GURNEE, IL 60031-9164
(847) 360-9317
Mailing address
1790 NATIONS DR, SUITE 214, GURNEE, IL 60031-9164
(847) 360-9317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.005952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004984001
BCBS
IL
01
—
046005952
TPSDPA
IL
05
—
046005952
—
IL
01
—
152W00000X
TAXONOMY
IL
01
—
317490
MEDICARE PTAN
IL
01
—
34600020
CONTROLLED SUBSTANCE
IL
Enumeration date
12/22/2006
Last updated
03/07/2023
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