Provider Demographics
NPI:1811682412
Name:EYES ON SCHAUMBURG LLC
Entity type:Organization
Organization Name:EYES ON SCHAUMBURG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-922-5084
Mailing Address - Street 1:940 DEBRA LN
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3044
Mailing Address - Country:US
Mailing Address - Phone:847-922-5084
Mailing Address - Fax:
Practice Address - Street 1:140B S ROSELLE RD STE A2
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-1647
Practice Address - Country:US
Practice Address - Phone:847-792-9411
Practice Address - Fax:847-792-9415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty