Provider Demographics
NPI:1790974806
Name:THE EYE WORKS, LTD.
Entity Type:Organization
Organization Name:THE EYE WORKS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-540-1144
Mailing Address - Street 1:820 W IL ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2560
Mailing Address - Country:US
Mailing Address - Phone:847-540-1144
Mailing Address - Fax:847-540-5681
Practice Address - Street 1:820 W IL ROUTE 22
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2560
Practice Address - Country:US
Practice Address - Phone:847-540-1144
Practice Address - Fax:847-540-5681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008413152W00000X
152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty