Provider Demographics
NPI:1982878153
Name:GALILEO OPTICAL CO.
Entity Type:Organization
Organization Name:GALILEO OPTICAL CO.
Other - Org Name:EYELAND OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-892-5000
Mailing Address - Street 1:26 E DOWNER PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-3302
Mailing Address - Country:US
Mailing Address - Phone:630-892-5000
Mailing Address - Fax:630-896-7820
Practice Address - Street 1:26 E DOWNER PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-3302
Practice Address - Country:US
Practice Address - Phone:630-892-5000
Practice Address - Fax:630-896-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1447306451OtherEYE MED
IL=========6050301Medicaid