Provider Demographics
NPI:1093902686
Name:SHVARTSMAN EYECARE PC
Entity Type:Organization
Organization Name:SHVARTSMAN EYECARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SHVARTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-853-0763
Mailing Address - Street 1:323 17TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-3223
Mailing Address - Country:US
Mailing Address - Phone:847-853-0763
Mailing Address - Fax:847-251-9880
Practice Address - Street 1:120 SKOKIE BLVD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-3050
Practice Address - Country:US
Practice Address - Phone:847-251-3330
Practice Address - Fax:847-251-9580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty