Provider Demographics
NPI:1386816320
Name:FORSIGHT VISION, LTD
Entity Type:Organization
Organization Name:FORSIGHT VISION, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:COHAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-955-9393
Mailing Address - Street 1:4160 IL ROUTE 83
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-5083
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4160 IL ROUTE 83
Practice Address - Street 2:SUITE 107
Practice Address - City:LONG GROVE
Practice Address - State:IL
Practice Address - Zip Code:60047-5083
Practice Address - Country:US
Practice Address - Phone:847-955-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009356152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841244878OtherNPI