Organization · Type 2 NPI
Consolidated Vision Group
Eyewear Supplier · Fairview Hgts, IL
NPI number
1336170406
Active
Practice location
10840 Lincoln Trl
Fairview Hgts, IL 62208-2010
Fax (618) 397-8887
Mailing address
296 Grayson Highway
Lawrenceville, GA 30046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2 other providers at this address
About NPI 1336170406
Consolidated Vision Group's National Provider Identifier is 1336170406, issued on Jul 6, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fairview Hgts, IL. The record was last updated on Jun 19, 2012.