Optical Place LTD.

Optometrist · Midlothian, IL

Organization Active NPI

NPI number 1104995299

Practice location

4716 147TH St
Midlothian, IL 60445-2527
Phone
(708) 597-6550
Fax
(708) 597-5975

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NPI record

NPI
1104995299
Entity type
Organization (Type 2)
Enumeration date
November 6, 2006
Last updated
June 14, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046-007825 IL

Authorized official

Name
Dr. Thomas E Hines, O.D.
Title
President
Phone
(708) 597-6550

About Optical Place LTD.

Optical Place LTD. is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4716 147TH St, Midlothian, IL 60445-2527. The NPI number 1104995299 was assigned on November 6, 2006 and the record was last updated on June 14, 2011.

Optical Place LTD. lists a license in the registry: #046-007825 (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. Thomas E Hines, O.D., President.

Frequently asked questions

What is the NPI number of Optical Place LTD.?

The NPI number is 1104995299.

What is the phone number of Optical Place LTD.?

The phone number listed for the practice location is (708) 597-6550.

Where is Optical Place LTD. located?

4716 147TH St, Midlothian, IL 60445-2527.

What is the taxonomy code for Optical Place LTD.?

The primary taxonomy code is 152W00000X – Optometrist.

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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