Provider Demographics
NPI:1467022608
Name:ADVANCED EYECARE OF ARLINGTON HEIGHTS CORP
Entity Type:Organization
Organization Name:ADVANCED EYECARE OF ARLINGTON HEIGHTS CORP
Other - Org Name:SPECIAL EYES OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRISHMA
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-368-9800
Mailing Address - Street 1:27 S VAIL AVE # 1840
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1840
Mailing Address - Country:US
Mailing Address - Phone:847-368-9800
Mailing Address - Fax:
Practice Address - Street 1:27 S VAIL AVE # 1840
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1840
Practice Address - Country:US
Practice Address - Phone:847-368-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty