| Springdale Eyecare Llc | |
|
5450 Wolf Rd Western Springs IL 60558-1852 | |
| (708) 820-2020 | |
| Not Available |
| Full Name | Springdale Eyecare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5450 Wolf Rd, Western Springs, Illinois |
| Authorized Official Name and Position | Tanya Halikias (OPTOMETRIST) |
| Authorized Official Contact | 3129121812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springdale Eyecare Llc 10701 Cherrywood Dr Palos Park IL 60464-3701 Ph: (312) 912-1812 | Springdale Eyecare Llc 5450 Wolf Rd Western Springs IL 60558-1852 Ph: (708) 820-2020 |
| NPI Number | 1922513928 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Medicare PECOS PAC ID | 4486917606 |
|---|---|
| Medicare Enrollment ID | O20180420001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922513928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 46009983 (Illinois) | Primary |
| Provider Name | Tanya Halikias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255539292 PECOS PAC ID: 8527150887 Enrollment ID: I20070816000771 |
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