Provider Demographics
NPI:1225240369
Name:EYE LEVEL INC
Entity Type:Organization
Organization Name:EYE LEVEL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIKOMI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:312-236-7538
Mailing Address - Street 1:2 N. LA SALLE STREET
Mailing Address - Street 2:SUITE 155
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-236-7538
Mailing Address - Fax:312-236-1205
Practice Address - Street 1:2 N. LA SALLE STREET
Practice Address - Street 2:SUITE 155
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-236-7538
Practice Address - Fax:312-236-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL3529Medicare PIN