Provider Demographics
NPI:1497889497
Name:HANNA RAYKO LTD
Entity Type:Organization
Organization Name:HANNA RAYKO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYKO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-955-9919
Mailing Address - Street 1:2187 AVALON DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4684
Mailing Address - Country:US
Mailing Address - Phone:847-955-9919
Mailing Address - Fax:
Practice Address - Street 1:250 N RANDALL RD
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-5943
Practice Address - Country:US
Practice Address - Phone:847-960-9912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008840152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty