Panicker Optometry LLC

Optometrist · Forest Park, IL

Organization Active NPI

NPI number 1144083296

Practice location

1300 Des Plaines Ave
Forest Park, IL 60130-2507
Phone
(708) 488-0383

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NPI record

NPI
1144083296
Entity type
Organization (Type 2)
Enumeration date
February 1, 2024
Last updated
February 1, 2024
Certified
February 1, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

793 Barclay Dr
Bolingbrook, IL 60440-6105

Authorized official

Name
Jaison Panicker
Title
Optometrist
Phone
(630) 479-3411

About Panicker Optometry LLC

Panicker Optometry LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1300 Des Plaines Ave, Forest Park, IL 60130-2507. The NPI number 1144083296 was assigned on February 1, 2024 and the record was last updated on February 1, 2024.

The authorized official for this organization is Jaison Panicker, Optometrist.

Frequently asked questions

What is the NPI number of Panicker Optometry LLC?

The NPI number is 1144083296.

What is the phone number of Panicker Optometry LLC?

The phone number listed for the practice location is (708) 488-0383.

Where is Panicker Optometry LLC located?

1300 Des Plaines Ave, Forest Park, IL 60130-2507.

What is the taxonomy code for Panicker Optometry LLC?

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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