Provider Demographics
NPI:1952454647
Name:EYE CARE LTD
Entity Type:Organization
Organization Name:EYE CARE LTD
Other - Org Name:EYECARE EYEWEAR LTD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OPTICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-433-5888
Mailing Address - Street 1:9630 KENTON AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1216
Mailing Address - Country:US
Mailing Address - Phone:847-677-1699
Mailing Address - Fax:847-677-1406
Practice Address - Street 1:1971 2ND ST
Practice Address - Street 2:SUITE 500
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3174
Practice Address - Country:US
Practice Address - Phone:847-433-5888
Practice Address - Fax:847-433-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTIN