Provider Demographics
NPI:1417011537
Name:EYE WAS FRAMED OPTICAL LTD
Entity Type:Organization
Organization Name:EYE WAS FRAMED OPTICAL LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TUMINELLO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-460-2020
Mailing Address - Street 1:11319 W 143RD ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7221
Mailing Address - Country:US
Mailing Address - Phone:708-460-2020
Mailing Address - Fax:708-460-2025
Practice Address - Street 1:11319 W 143RD ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-7221
Practice Address - Country:US
Practice Address - Phone:708-460-2020
Practice Address - Fax:708-460-2025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
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
IL213384Medicare ID - Type Unspecified