Provider Demographics
NPI:1033310487
Name:RIBARCHIK, GEORGE LUIS (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:LUIS
Last Name:RIBARCHIK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-3216
Mailing Address - Country:US
Mailing Address - Phone:847-516-0620
Mailing Address - Fax:815-206-3090
Practice Address - Street 1:1275 LAKE AVE
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-7415
Practice Address - Country:US
Practice Address - Phone:815-206-0998
Practice Address - Fax:815-206-3090
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist