Organization
LAKE BLUFF FAMILY EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JACKSON O.D. (PRESIDENT)
(847) 735-1699
Entity
Organization
Contact information
Practice address
755 ROCKLAND ROAD, SUITE 201, LAKE BLUFF, IL 60044
(847) 735-1699
Mailing address
755 ROCKLAND ROAD, SUITE 201, LAKE BLUFF, IL 60044
(847) 735-1699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008452
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046008452
STATE OF ILLINOIS OPTOMETRIST PROFESSIONAL LICENSE
IL
Enumeration date
03/07/2013
Last updated
03/07/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us