Provider Demographics
NPI:1780703587
Name:METROPOLITAN EYECARE
Entity type:Organization
Organization Name:METROPOLITAN EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLETT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-747-4800
Mailing Address - Street 1:260 LINCOLN MALL DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2329
Mailing Address - Country:US
Mailing Address - Phone:708-747-4800
Mailing Address - Fax:708-747-8770
Practice Address - Street 1:260 LINCOLN MALL DR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2329
Practice Address - Country:US
Practice Address - Phone:708-747-4800
Practice Address - Fax:708-747-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty