Provider Demographics
NPI:1306905005
Name:PREMIER EYE CARE & SURGERY LTD
Entity type:Organization
Organization Name:PREMIER EYE CARE & SURGERY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:KIERNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-459-6060
Mailing Address - Street 1:1120 W LAKE COOK RD STE C
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1970
Mailing Address - Country:US
Mailing Address - Phone:847-459-6060
Mailing Address - Fax:847-459-9797
Practice Address - Street 1:1120 W LAKE COOK RD STE C
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1970
Practice Address - Country:US
Practice Address - Phone:847-459-6060
Practice Address - Fax:847-459-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty