Provider Demographics
NPI:1558461343
Name:TOSEEF HASAN O.D. LTD
Entity Type:Organization
Organization Name:TOSEEF HASAN O.D. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O./PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOSEEF
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-605-2042
Mailing Address - Street 1:1721 E ROOSEVELT RD
Mailing Address - Street 2:UNIT#3
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6839
Mailing Address - Country:US
Mailing Address - Phone:630-605-2042
Mailing Address - Fax:
Practice Address - Street 1:1050 N ROHLWING RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-1034
Practice Address - Country:US
Practice Address - Phone:630-424-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty