Provider Demographics
NPI:1093451833
Name:EXEMPLARY EYECARE PLLC
Entity Type:Organization
Organization Name:EXEMPLARY EYECARE PLLC
Other - Org Name:RED EYE EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:773-782-1660
Mailing Address - Street 1:1921 W DIVERSEY PKWY APT 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-9412
Mailing Address - Country:US
Mailing Address - Phone:720-837-8084
Mailing Address - Fax:
Practice Address - Street 1:2158 N DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-9597
Practice Address - Country:US
Practice Address - Phone:773-782-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty