Provider Demographics
NPI:1346366689
Name:FAMILY EYE CARE, PC
Entity Type:Organization
Organization Name:FAMILY EYE CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-377-2020
Mailing Address - Street 1:1871 S RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4434
Mailing Address - Country:US
Mailing Address - Phone:630-377-2020
Mailing Address - Fax:630-584-2052
Practice Address - Street 1:1871 S RANDALL RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4434
Practice Address - Country:US
Practice Address - Phone:630-377-2020
Practice Address - Fax:630-584-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008399152W00000X
IL046008657152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1326130311OtherNPI
IL1851463780OtherNPI
IL1346366689OtherNPI
IL529670Medicare ID - Type Unspecified
ILU20414Medicare UPIN
IL1326130311OtherNPI
IL4100399991Medicare ID - Type UnspecifiedRAILROAD
IL410039578Medicare ID - Type UnspecifiedRAILROAD