Provider Demographics
NPI:1831216951
Name:T&K O.D., LTD
Entity type:Organization
Organization Name:T&K O.D., LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAUSEEF
Authorized Official - Middle Name:U
Authorized Official - Last Name:TAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:815-744-3222
Mailing Address - Street 1:301 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6590
Mailing Address - Country:US
Mailing Address - Phone:815-744-3222
Mailing Address - Fax:815-744-3519
Practice Address - Street 1:301 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6590
Practice Address - Country:US
Practice Address - Phone:815-744-3222
Practice Address - Fax:815-744-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1073601654OtherNPI
IL1710075304OtherNPI
ILK14656Medicare ID - Type Unspecified
IL1073601654OtherNPI
ILK14655Medicare ID - Type Unspecified
ILU-92852Medicare UPIN