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Active NPI 1538204516 Organization (Entity Type 2)

Eagle Optical, Inc.

Technician/Technologist - Optician • Lansing, IL

About Eagle Optical, Inc. NPI 1538204516 Summary

Eagle Optical, Inc. is a verified healthcare organization specializing in Technician/Technologist - Optician operating in Lansing, IL. Located at 3319 RIDGE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1538204516.

Administrative operations and authorized compliance are overseen by Wendy Novak (Vice President).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3319 Ridge Rd

Lansing, IL 604383111

Telephone 7084741145
Fax 7084741876

Authorized Official Information

Authorized Contact Name

Wendy Novak

Title / Role

Vice President

Official Telephone

7084743500

Facility Classifications & Specialties

Technician/Technologist - Optician Primary Taxonomy

NUCC Taxonomy Code: 156FX1800X

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Dr. Chen-Yu Kuo , OD NPI 1669514709

Optometrist

Lansing, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2008

Registered at 3319 RIDGE RD, LANSING, IL 604383111 (Tel: 7084741145)

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Updated Business Mailing Address May 29, 2008

Registered at 2755 INDIANA AVE, LANSING, IL 604382225 (Tel: 7084743500)

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Organization / Clinic Name Updated May 29, 2008

Operating as EAGLE OPTICAL, INC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Technician/Technologist (License #18038042 in IL)

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Initial NPI Registration & Enumeration February 20, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1538204516
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 20, 2007
Last Update: May 29, 2008

Mailing Address

2755 Indiana Ave

Lansing, IL 604382225

Phone: 7084743500

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.