Provider Demographics
NPI:1295103695
Name:EYE ON DEVON INC.
Entity type:Organization
Organization Name:EYE ON DEVON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAIR
Authorized Official - Middle Name:SHLOMO
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:224-464-1082
Mailing Address - Street 1:3368 W DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1317
Mailing Address - Country:US
Mailing Address - Phone:773-764-5300
Mailing Address - Fax:
Practice Address - Street 1:3368 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1317
Practice Address - Country:US
Practice Address - Phone:773-764-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty