Organization
NORTH SHORE EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILLICENT L KNIGHT OD (PRESIDENT CEO)
(847) 864-4768
Entity
Organization
Contact information
Practice address
2914 CENTRAL ST, EVANSTON, IL 60201
(847) 864-4768
Mailing address
2914 CENTRAL ST, EVANSTON, IL 60201-1237
(847) 864-4768
(847) 864-4795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635011
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/16/2006
Last updated
12/03/2007
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