Organization
BRAIN-EYE EVOLUTION AT 730 NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY L RICKETTS O.D. (OPTOMETRIST)
(847) 362-9900
Entity
Organization
Contact information
Practice address
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1914
(847) 362-9900
Mailing address
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1914
(847) 362-9900
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up