Organization · Type 2 NPI
Buena Vista Optical, P.c.
Clinic/Center · Chicago, IL
NPI number
1740464296
Active
Practice location
6455 S Kedzie Ave
Chicago, IL 60629-2829
Fax (773) 863-9274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 046-009243 (IL) |
| Eyewear Supplier | 332H00000X | 046-009243 (IL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5 other providers at this address
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About NPI 1740464296
Buena Vista Optical, P.c.'s National Provider Identifier is 1740464296, issued on Dec 19, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2013.