Provider Demographics
NPI:1225193931
Name:EYE CARE 4 U, S.C.
Entity Type:Organization
Organization Name:EYE CARE 4 U, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:FISCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-360-9317
Mailing Address - Street 1:1790 NATIONS DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-9164
Mailing Address - Country:US
Mailing Address - Phone:847-360-9317
Mailing Address - Fax:
Practice Address - Street 1:1790 NATIONS DR
Practice Address - Street 2:SUITE 214
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-9164
Practice Address - Country:US
Practice Address - Phone:847-360-9317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.005952152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0004984001OtherBCBS
IL34600020OtherCONTROLLED SUBSTANCE
IL152W00000XOtherTAXONOMY
IL046005952Medicaid
IL046005952OtherTPSDPA
IL317490OtherMEDICARE PTAN
IL317490OtherMEDICARE PTAN
IL317490OtherMEDICARE PTAN
IL046005952Medicaid
IL=========0012OtherCIGNA
IL317490OtherMEDICARE PTAN