Provider Demographics
NPI:1356476295
Name:EYES ON YOU, LTD
Entity Type:Organization
Organization Name:EYES ON YOU, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:K
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-406-0606
Mailing Address - Street 1:2010 W WILSON ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-9482
Mailing Address - Country:US
Mailing Address - Phone:630-406-0606
Mailing Address - Fax:630-406-0996
Practice Address - Street 1:2010 W WILSON ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-9482
Practice Address - Country:US
Practice Address - Phone:630-406-0606
Practice Address - Fax:630-406-0996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0004504795OtherBLUECROSSBLUESHIELD
IL0004504795OtherBLUECROSSBLUESHIELD