Provider Demographics
NPI:1093725640
Name:REDING OPTICS, INC
Entity Type:Organization
Organization Name:REDING OPTICS, INC
Other - Org Name:HOMER TOWNSHIP VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:REDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-301-2020
Mailing Address - Street 1:13231 W 143RD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-6638
Mailing Address - Country:US
Mailing Address - Phone:708-301-2020
Mailing Address - Fax:708-301-0884
Practice Address - Street 1:13231 W 143RD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-6638
Practice Address - Country:US
Practice Address - Phone:708-301-2020
Practice Address - Fax:708-301-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9915153OtherBCBS OF ILLINOIS
IL0872650001Medicare NSC