Provider Demographics
NPI:1114167541
Name:ACCUVISION CENTER INC.
Entity Type:Organization
Organization Name:ACCUVISION CENTER INC.
Other - Org Name:ACCUVISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-274-6000
Mailing Address - Street 1:1914 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-7822
Mailing Address - Country:US
Mailing Address - Phone:847-356-2020
Mailing Address - Fax:847-356-5051
Practice Address - Street 1:2183 N IL ROUTE 83
Practice Address - Street 2:
Practice Address - City:ROUND LAKE BEACH
Practice Address - State:IL
Practice Address - Zip Code:60073-4906
Practice Address - Country:US
Practice Address - Phone:847-223-2020
Practice Address - Fax:847-223-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.006829152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty