Organization
RICHARD C WEINSTEIN OD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C WEINSTEIN OD (PRESIDENT)
(847) 426-3221
Entity
Organization
Contact information
Practice address
210 PENNY AVE, SUITE E, EAST DUNDEE, IL 60118-1458
(847) 426-3221
(847) 426-3461
Mailing address
210 PENNY AVE, SUITE E, EAST DUNDEE, IL 60118-1458
(847) 426-3221
(847) 426-3461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-6648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004584011
BCBS IL
IL
01
—
8474263221
VISION SERVICE PLAN
IL
01
—
IL6648
EYEMED
IL
Enumeration date
10/14/2010
Last updated
06/07/2011
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