Provider Demographics
NPI:1770714149
Name:ENGLISH ROWS EYE CARE, P.C.
Entity type:Organization
Organization Name:ENGLISH ROWS EYE CARE, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-922-2661
Mailing Address - Street 1:3027 ENGLISH ROW AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5105
Mailing Address - Country:US
Mailing Address - Phone:620-922-2661
Mailing Address - Fax:630-470-6979
Practice Address - Street 1:3027 ENGLISH ROW AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5105
Practice Address - Country:US
Practice Address - Phone:620-922-2661
Practice Address - Fax:630-470-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008182152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053334128OtherNPI TYPE 1
ILU10101Medicare UPIN