Organization
CHARLES S OVITSKY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S OVITSKY O.D. (CEO/PRESIDENT)
(773) 588-3090
Entity
Organization
Contact information
Practice address
3500 W PETERSON AVE, SUITE 401, CHICAGO, IL 60659-3306
(773) 588-3090
(773) 588-3210
Mailing address
3500 W PETERSON AVE, SUITE 401, CHICAGO, IL 60659-3306
(773) 588-3090
(773) 588-3210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603342
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
12/31/2007
Last updated
03/16/2022
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