Diane Lis O.d.s.c. is a
Optometrist based in Elk Grove Vlg, Illinois. Diane Lis O.d.s.c. is licensed to practice in Illinois (license number 046008227) and their current practice location is
801 Meacham Rd, Elk Grove Vlg, Illinois. It can be reached at their office (for appointments etc.) via phone at
(847) 584-7090.
NPI number for Diane Lis O.d.s.c. is 1437486511 and their current mailing address is 1904 Midwest Club Pkwy, Oak Brook, Illinois. Diane Lis O.d.s.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1437486511.
Healthcare Provider's Profile
Full Name | Diane Lis O.d.s.c. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 801 Meacham Rd, Elk Grove Vlg, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437486511
- Provider Enumeration Date: 11/10/2009
- Last Update Date: 11/10/2009
Medical Identifiers
Medical identifiers for Diane Lis O.d.s.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437486511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046008227 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Lis O.d.s.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diane Lis O.d.s.c. 1904 Midwest Club Pkwy, Oak Brook, IL 60523-2525 Ph: (630) 205-5222 | Diane Lis O.d.s.c. 801 Meacham Rd, Elk Grove Vlg, IL 60007-3073 Ph: (847) 584-7090 |
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