Provider Demographics
NPI:1609060912
Name:EXCEL EYE CARE CENTER LLC
Entity Type:Organization
Organization Name:EXCEL EYE CARE CENTER LLC
Other - Org Name:CLEARVIEW EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHOW-HILL
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:847-882-3928
Mailing Address - Street 1:1173 BARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1144
Mailing Address - Country:US
Mailing Address - Phone:847-882-3928
Mailing Address - Fax:847-882-3234
Practice Address - Street 1:1173 BARRINGTON RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1144
Practice Address - Country:US
Practice Address - Phone:847-882-3928
Practice Address - Fax:847-882-3234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL35064668332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier