Provider Demographics
NPI:1003672965
Name:SOLO EYE CARE PRINTERS ROW, LLC
Entity Type:Organization
Organization Name:SOLO EYE CARE PRINTERS ROW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-819-0071
Mailing Address - Street 1:555 S DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-1586
Mailing Address - Country:US
Mailing Address - Phone:312-588-5999
Mailing Address - Fax:312-225-5309
Practice Address - Street 1:555 S DEARBORN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-1586
Practice Address - Country:US
Practice Address - Phone:312-588-5999
Practice Address - Fax:312-225-5309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty