| Advanced Vision Center | |
|
2 Executive Ct Ste 3 South Barrington IL 60010-9507 | |
| (847) 891-8003 | |
| (847) 891-8045 |
| Full Name | Advanced Vision Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Executive Ct Ste 3, South Barrington, Illinois |
| Authorized Official Name and Position | Ingryd Lorenzana (PRESIDENT) |
| Authorized Official Contact | 6308373939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Vision Center 19 E Schaumburg Rd Schaumburg IL 60194-3503 Ph: (847) 891-8003 | Advanced Vision Center 2 Executive Ct Ste 3 South Barrington IL 60010-9507 Ph: (847) 891-8003 |
| NPI Number | 1780862540 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 1355398421 |
|---|---|
| Medicare Enrollment ID | O20050401000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780862540 | NPI | - | NPPES |
| 046008743 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 046008743 (Illinois) | Primary |
| Provider Name | Ingryd Lorenzana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295726040 PECOS PAC ID: 4981697075 Enrollment ID: I20040405001625 |
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