Provider Demographics
NPI:1477601664
Name:VILLAGE EYE CARE LTD
Entity Type:Organization
Organization Name:VILLAGE EYE CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SATPAL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SARAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:312-663-4250
Mailing Address - Street 1:1243 S WABASH AVE
Mailing Address - Street 2:UNIT 101
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2473
Mailing Address - Country:US
Mailing Address - Phone:312-663-4250
Mailing Address - Fax:
Practice Address - Street 1:1243 S WABASH AVE
Practice Address - Street 2:UNIT 101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2473
Practice Address - Country:US
Practice Address - Phone:312-663-4250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-009595152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01636791OtherBLUE CROSS BLUE SHIELD
IL01636791OtherBLUE CROSS BLUE SHIELD