Organization
WESTGROVE VISION CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE NAGY II OD (OWNER)
(630) 824-3800
Entity
Organization
Contact information
Practice address
134 OGDEN AVE, DOWNERS GROVE, IL 60515-2322
(630) 824-3800
(630) 824-3820
Mailing address
134 OGDEN AVENUE, DOWNERS GROVE, IL 60515-2322
(630) 824-3800
(630) 824-3820
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP4491
GROUP PTAN RAILROAD MEDICARE
IL
01
—
IL1312
INDIVIDUAL P TAN NUMBER
IL
01
—
IL1312001
GROUP PTAN NUMBER
IL
01
—
P00758252
INDIVIDUAL PTAN
IL
Enumeration date
04/17/2007
Last updated
12/07/2009
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