Provider Demographics
NPI:1740742709
Name:YORKVILLE VISION LLC
Entity type:Organization
Organization Name:YORKVILLE VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PROPATI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-235-3918
Mailing Address - Street 1:823 E CHURCH ST STE B
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:IL
Mailing Address - Zip Code:60548-1890
Mailing Address - Country:US
Mailing Address - Phone:815-786-6393
Mailing Address - Fax:815-786-6724
Practice Address - Street 1:823 E CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:IL
Practice Address - Zip Code:60548-1890
Practice Address - Country:US
Practice Address - Phone:815-786-6393
Practice Address - Fax:815-786-6724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty