Organization
MARVIN H HEIMLICH,OD LLC
Active
Other names
LIBERTYVILLE VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN HAROLD HEIMLICH O.D. (OWNER)
(847) 362-6444
Entity
Organization
Contact information
Practice address
307 S MILWAUKEE AVE, LIBERTYVILLE VISION CENTER, LIBERTYVILLE, IL 60048
(847) 362-3444
(847) 362-4672
Mailing address
307 S MILWAUKEE AVE, LIBERTYVILLE VISION CENTER, LIBERTYVILLE, IL 60048
(847) 362-3444
(847) 362-4672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116789
AETNA
IL
01
—
4915133
BLUE CROSS/BLUE SHIELD
IL
01
—
IL7448-001
EYEMED VISION CARE
IL
Enumeration date
11/02/2006
Last updated
03/31/2009
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