Provider Demographics
NPI:1053458554
Name:STOCK, ALISON FAYE (OD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:FAYE
Last Name:STOCK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4705 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3423
Mailing Address - Country:US
Mailing Address - Phone:708-606-4247
Mailing Address - Fax:
Practice Address - Street 1:2934 FINLEY RD
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1042
Practice Address - Country:US
Practice Address - Phone:630-916-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.009908152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist