Organization
THE RIVERSIDE EYE CORP
Active
Other names
pearle vision express
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PHILIPOY DR (OWNER)
(708) 447-1494
Entity
Organization
Contact information
Practice address
7222 W. CERMAK RD., SUITE 100, NORTH RIVERSIDE, IL 60546
(708) 447-1494
(708) 447-6178
Mailing address
7222 W. CERMAK RD., SUITE 100, NORTH RIVERSIDE, IL 60546
(708) 447-1494
(708) 447-6178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2314-4531
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B002910
SUBMITTER ID
—
Enumeration date
12/11/2006
Last updated
09/16/2020
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