Eagle Optical, Inc.

Optician · Lansing, IL

Organization Active NPI

NPI number 1538204516

Practice location

3319 Ridge Rd
Lansing, IL 60438-3111
Phone
(708) 474-1145
Fax
(708) 474-1876

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NPI record

NPI
1538204516
Entity type
Organization (Type 2)
Enumeration date
February 20, 2007
Last updated
May 29, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 18038042 IL

Mailing address

2755 Indiana Ave
Lansing, IL 60438-2225
Phone
(708) 474-3500
Fax
(708) 474-3556

Authorized official

Name
Wendy Novak
Title
Vice President
Phone
(708) 474-3500

About Eagle Optical, Inc.

Eagle Optical, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 3319 Ridge Rd, Lansing, IL 60438-3111. The NPI number 1538204516 was assigned on February 20, 2007 and the record was last updated on May 29, 2008.

Eagle Optical, Inc. lists a license in the registry: #18038042 (IL) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Wendy Novak, Vice President.

Frequently asked questions

What is the NPI number of Eagle Optical, Inc.?

The NPI number is 1538204516.

What is the phone number of Eagle Optical, Inc.?

The phone number listed for the practice location is (708) 474-1145.

Where is Eagle Optical, Inc. located?

3319 Ridge Rd, Lansing, IL 60438-3111.

What is the taxonomy code for Eagle Optical, Inc.?

The primary taxonomy code is 156FX1800X – Optician.

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.