Provider Demographics
NPI:1801330402
Name:A MATTER OF SIGHT, LLC
Entity type:Organization
Organization Name:A MATTER OF SIGHT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIRASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKULSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-697-9100
Mailing Address - Street 1:2210 N CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3855
Mailing Address - Country:US
Mailing Address - Phone:773-697-9100
Mailing Address - Fax:773-697-9106
Practice Address - Street 1:2210 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3855
Practice Address - Country:US
Practice Address - Phone:773-697-9100
Practice Address - Fax:773-697-9106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty