Provider Demographics
NPI:1881431781
Name:MATTHEW ALBIN OD LLC
Entity type:Organization
Organization Name:MATTHEW ALBIN OD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-418-1819
Mailing Address - Street 1:113 E LAKE ST STE 113-1
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1144
Mailing Address - Country:US
Mailing Address - Phone:630-326-8632
Mailing Address - Fax:630-326-8717
Practice Address - Street 1:113 E LAKE ST STE 113-1
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1144
Practice Address - Country:US
Practice Address - Phone:630-418-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty