Provider Demographics
NPI:1578786661
Name:NEW PRECISE VISION OPTICAL INC.
Entity Type:Organization
Organization Name:NEW PRECISE VISION OPTICAL INC.
Other - Org Name:PRECISE VISION OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-256-2056
Mailing Address - Street 1:1146 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2621
Mailing Address - Country:US
Mailing Address - Phone:847-256-2056
Mailing Address - Fax:847-256-2067
Practice Address - Street 1:1146 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2621
Practice Address - Country:US
Practice Address - Phone:847-256-2056
Practice Address - Fax:847-256-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service