Provider Demographics
NPI:1316562408
Name:GASCA, VICKI HN (OD)
Entity Type:Individual
Prefix:DR
First Name:VICKI
Middle Name:HN
Last Name:GASCA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:HN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7026 W. 159TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462
Mailing Address - Country:US
Mailing Address - Phone:708-687-0600
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:7026 W. 159TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:708-687-0600
Practice Address - Fax:815-729-1580
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10016152W00000X
IL046011552152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist