Provider Demographics
NPI:1306413976
Name:DAVID J.CASPER,OD.
Entity Type:Organization
Organization Name:DAVID J.CASPER,OD.
Other - Org Name:JOLIET VISION CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:815-744-1400
Mailing Address - Street 1:151 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6551
Mailing Address - Country:US
Mailing Address - Phone:815-744-1400
Mailing Address - Fax:815-744-1177
Practice Address - Street 1:151 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6551
Practice Address - Country:US
Practice Address - Phone:815-744-1400
Practice Address - Fax:815-744-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty