Provider Demographics
NPI:1669045464
Name:D C OPTICS LTD
Entity Type:Organization
Organization Name:D C OPTICS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:COSTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-256-8100
Mailing Address - Street 1:3223 LAKE AVE STE 14C
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1069
Mailing Address - Country:US
Mailing Address - Phone:847-256-8100
Mailing Address - Fax:847-256-8102
Practice Address - Street 1:3223 LAKE AVE STE 14C
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1069
Practice Address - Country:US
Practice Address - Phone:847-256-8100
Practice Address - Fax:847-256-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty