Provider Demographics
NPI:1215203260
Name:FARNSWORTH EYE CARE, PC
Entity Type:Organization
Organization Name:FARNSWORTH EYE CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGARA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-428-3937
Mailing Address - Street 1:535 FAIRWAY DR
Mailing Address - Street 2:STE 127
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3940
Mailing Address - Country:US
Mailing Address - Phone:630-428-3937
Mailing Address - Fax:
Practice Address - Street 1:535 FAIRWAY DR
Practice Address - Street 2:STE 127
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3940
Practice Address - Country:US
Practice Address - Phone:630-428-3937
Practice Address - Fax:630-428-8590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046007847261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service