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Buena Vista Optical, P.c.
Eyewear Supplier in Chicago, Illinois
NPI 1740464296

Buena Vista Optical, P.c. is a Eyewear Supplier based in Chicago, IL. Buena Vista Optical, P.c. practices in Chicago, IL. The NPI Number for Buena Vista Optical, P.c. is 1740464296 and holds a License No. 046-009243 (Illinois).

The current practice location address for Buena Vista Optical, P.c. is 6455 S Kedzie Ave, Chicago, IL and can be reached out via phone at 773-863-9234 and via fax at 773-863-9274.

Location: 6455 S Kedzie Ave, Chicago, IL, 60629-2829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740464296
Provider Name
Buena Vista Optical, P.c.
Credential
Provider Entity Type
Organization
Address
6455 S Kedzie Ave, Chicago, IL, 60629-2829
Phone Number
773-863-9234
Fax Number
773-863-9274
Provider Enumeration Date
12/19/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
6455 S Kedzie Ave
City
Chicago
State
Illinois
Zip
60629-2829
Phone Number
773-863-9234
Fax Number
773-863-9274
person
Provider Business Mailing Address Details
Address
6455 S Kedzie Ave
City
Chicago
State
Illinois
Zip
60629-2829
Phone Number
773-863-9234
Fax Number
773-863-9274
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
046-009243 (Illinois)
Definition
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).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
046-009243 (Illinois)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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