Provider Demographics
NPI:1376717413
Name:LOOK OPTIQUE INC
Entity Type:Organization
Organization Name:LOOK OPTIQUE INC
Other - Org Name:EYE Q OPTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:PLYAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-858-6667
Mailing Address - Street 1:722 S BUFFALO GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-3708
Mailing Address - Country:US
Mailing Address - Phone:847-947-8875
Mailing Address - Fax:224-757-5267
Practice Address - Street 1:722 S BUFFALO GROVE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3708
Practice Address - Country:US
Practice Address - Phone:847-947-8875
Practice Address - Fax:224-757-5267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty