Foreman & Stack OD PC

Optometrist · Glen Ellyn, IL

Organization Active NPI

NPI number 1083803050

Practice location

876 Roosevelt Rd
Glen Ellyn, IL 60137
Phone
(630) 469-2418
Fax
(630) 469-4680

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NPI record

NPI
1083803050
Entity type
Organization (Type 2)
Enumeration date
October 16, 2007
Last updated
February 16, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046007804 IL
Optometrist 152W00000X 046007804 IA
Optometrist 152W00000X 046007738 IL

Authorized official

Name
Dr. Catherine Mary Stack, OD
Title
Owner Optometrist
Phone
(630) 469-2418

About Foreman & Stack OD PC

Foreman & Stack OD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 876 Roosevelt Rd, Glen Ellyn, IL 60137. The NPI number 1083803050 was assigned on October 16, 2007 and the record was last updated on February 16, 2011.

Foreman & Stack OD PC lists 3 licenses in the registry: #046007804 (IL) for Optometrist; #046007804 (IA) for Optometrist; #046007738 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Catherine Mary Stack, OD, Owner Optometrist.

Frequently asked questions

What is the NPI number of Foreman & Stack OD PC?

The NPI number is 1083803050.

What is the phone number of Foreman & Stack OD PC?

The phone number listed for the practice location is (630) 469-2418.

Where is Foreman & Stack OD PC located?

876 Roosevelt Rd, Glen Ellyn, IL 60137.

What is the taxonomy code for Foreman & Stack OD PC?

The primary taxonomy code is 152W00000X – Optometrist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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