Provider Demographics
NPI:1386519767
Name:SMART OPTICAL II INC
Entity type:Organization
Organization Name:SMART OPTICAL II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEI
Authorized Official - Middle Name:QING
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-351-7947
Mailing Address - Street 1:2349 S WENTWORTH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-0110
Mailing Address - Country:US
Mailing Address - Phone:312-808-1893
Mailing Address - Fax:
Practice Address - Street 1:2349 S WENTWORTH AVE STE A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-0110
Practice Address - Country:US
Practice Address - Phone:312-808-1893
Practice Address - Fax:312-808-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty