Provider Demographics
NPI:1497834998
Name:SLOANE VISION SERVICES, LTD
Entity Type:Organization
Organization Name:SLOANE VISION SERVICES, LTD
Other - Org Name:SLOANE VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SLOANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-368-6100
Mailing Address - Street 1:1301 WEST 22ND STREET
Mailing Address - Street 2:SUITE 305
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523
Mailing Address - Country:US
Mailing Address - Phone:630-368-6100
Mailing Address - Fax:630-368-6060
Practice Address - Street 1:1301 WEST 22ND STREET
Practice Address - Street 2:SUITE 305
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:630-368-6100
Practice Address - Fax:630-368-6060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
036062667207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1225008139OtherBLUE CROSS BLUE SHIELD
IL591350Medicare PIN