Provider Demographics
NPI:1457547648
Name:INSIGHT FAMILY VISION CARE,INC.
Entity Type:Organization
Organization Name:INSIGHT FAMILY VISION CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-403-8300
Mailing Address - Street 1:9501 171ST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-6110
Mailing Address - Country:US
Mailing Address - Phone:708-403-8300
Mailing Address - Fax:708-403-8333
Practice Address - Street 1:9501 171ST ST
Practice Address - Street 2:SUITE C
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-6110
Practice Address - Country:US
Practice Address - Phone:708-403-8300
Practice Address - Fax:708-403-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008527152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty