Provider Demographics
NPI:1225154404
Name:UHLEMANN OPTICAL COMPANY
Entity Type:Organization
Organization Name:UHLEMANN OPTICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:IWINSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:630-585-6100
Mailing Address - Street 1:2600 BEVERLY DR
Mailing Address - Street 2:UNIT 102
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-8005
Mailing Address - Country:US
Mailing Address - Phone:630-585-6100
Mailing Address - Fax:630-585-7100
Practice Address - Street 1:3522 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2340
Practice Address - Country:US
Practice Address - Phone:847-675-4747
Practice Address - Fax:847-677-5864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty