Teresa Beth Eide, O.D.

Optometrist · Broadview, IL

Individual Active NPI

NPI number 1487605762

Practice location

122 Broadview Village Sq
Broadview, IL 60155-4874
Phone
(708) 343-2099

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NPI record

NPI
1487605762
Entity type
Individual (Type 1)
Enumeration date
May 12, 2006
Last updated
December 11, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — IL
Optometrist 152W00000X 591 SD

Mailing address

1423 W Fillmore St # 2
Chicago, IL 60607-4615
Phone
(773) 321-6668

About Dr. Eide

Teresa Beth Eide, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 122 Broadview Village Sq, Broadview, IL 60155-4874. The NPI number 1487605762 was assigned on May 12, 2006 and the record was last updated on December 11, 2007.

Dr. Eide lists a license in the registry: #591 (SD) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Teresa Beth Eide, O.D.?

The NPI number is 1487605762.

What is the phone number of Dr. Eide?

The phone number listed for the practice location is (708) 343-2099.

Where is Dr. Eide located?

122 Broadview Village Sq, Broadview, IL 60155-4874.

What is the taxonomy code for Dr. Eide?

The primary taxonomy code is 152W00000X – Optometrist; 1 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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