Organization
WHEATON EYE CLINIC LTD
Active
Parent organization
WHEATON EYE CLINIC LTD
Other names
Wheaton Optical Department, Wheaton Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHEATON EYE CLINIC LTD
Authorized official
LISA WHITE (CREDENTIALING SPECIALIST)
(630) 588-3630
Entity
Organization
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-8916
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-8916
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/29/2005
Last updated
09/24/2024
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