Provider Demographics
NPI:1558562223
Name:20 20 VISION LLC
Entity Type:Organization
Organization Name:20 20 VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:SAJIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-964-6288
Mailing Address - Street 1:811 BUTTERFIELD RD STE 111
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-8602
Mailing Address - Country:US
Mailing Address - Phone:630-480-8591
Mailing Address - Fax:630-480-8595
Practice Address - Street 1:811 BUTTERFIELD RD STE 111
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-8602
Practice Address - Country:US
Practice Address - Phone:630-480-8591
Practice Address - Fax:630-480-8595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL047932457152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty