Bolingbrook Vision Source Inc.
Optometrist · Bolingbrook, IL
Practice location
492 W Boughton RdBolingbrook, IL 60440-1441
- Phone
- (630) 759-4396
- Fax
- (630) 759-7761
NPI record
- NPI
- 1902129604
- Entity type
- Organization (Type 2)
- Enumeration date
- March 9, 2010
- Last updated
- March 9, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
046006455 | IL |
Authorized official
- Name
- Dr. John J. Gardner, O.D.
- Title
- Owner
- Phone
- (708) 598-1322
About Bolingbrook Vision Source Inc.
Bolingbrook Vision Source Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 492 W Boughton Rd, Bolingbrook, IL 60440-1441. The NPI number 1902129604 was assigned on March 9, 2010 and the record was last updated on March 9, 2010.
Bolingbrook Vision Source Inc. lists a license in the registry: #046006455 (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. John J. Gardner, O.D., Owner.
Frequently asked questions
What is the NPI number of Bolingbrook Vision Source Inc.?
The NPI number is 1902129604.
What is the phone number of Bolingbrook Vision Source Inc.?
The phone number listed for the practice location is (630) 759-4396.
Where is Bolingbrook Vision Source Inc. located?
492 W Boughton Rd, Bolingbrook, IL 60440-1441.
What is the taxonomy code for Bolingbrook Vision Source Inc.?
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.
Other Optometrist providers in Bolingbrook
- Brian Paul Berry, O.D.1243 W Boughton Rd
- Stephen D. Kemerley, O.D.141 N Weber Rd
- Michael Euntaek Lee, O.D.200 S Bolingbrook Dr
- Melissa Suzanne Spoula, O.D.480 W Boughton Rd
- Catherine M. Reyes, O.D.310 S Weber Rd
- Dr. Mary Grimwood & Associates, LTD141 N Weber Rd
- For Eyes Optical of PA141 N Weber Rd
- Burton G. Pinchuk, O.D.,P.C.402 W Boughton Rd
- Bolingbrook Eye Care & Eyewear Gallery, LLC124 E Boughton Rd
- Advanced Family Eyecare Center of Bolingbrook,Inc.480 W Boughton Rd
- Joseph Subak Jr., O.D.480 W Boughton Rd
- Hal Scott Frankel, O.D.310s Weber Rd