Provider Demographics
NPI:1578873345
Name:C F EYE CARE INC
Entity Type:Organization
Organization Name:C F EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HAMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-474-0404
Mailing Address - Street 1:18707 BURNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3588
Mailing Address - Country:US
Mailing Address - Phone:708-474-0404
Mailing Address - Fax:
Practice Address - Street 1:18707 BURNHAM AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3588
Practice Address - Country:US
Practice Address - Phone:708-474-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-007955261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6600130001Medicare NSC
ILIL4049Medicare PIN
IL410018531Medicare PIN
ILDR1996Medicare PIN
IL1578873345Medicare NSC