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Active NPI 1235288564 Organization (Entity Type 2)

Clc Vision Llc

Optometrist - Corneal and Contact Management • North Riverside, IL

About Clc Vision Llc NPI 1235288564 Summary

Clc Vision Llc is a verified healthcare organization specializing in Optometrist - Corneal and Contact Management operating in North Riverside, IL. Located at 7317 W 25TH STREET, this facility provides patient care and medical services under National Provider Identifier (NPI) 1235288564.

Administrative operations and authorized compliance are overseen by Colby Carter (Owner).

Facility Location & Contact Primary Location

Facility Address

7317 W 25th Street

North Riverside, IL 60546

Telephone 7084428899
Fax 7084429466

Authorized Official Information

Authorized Contact Name

DR. Colby Carter , O.D.

Title / Role

Owner

Official Telephone

7084428899

Facility Classifications & Specialties

Optometrist - Corneal and Contact Management Primary Taxonomy

NUCC Taxonomy Code: 152WC0802X

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7317 W 25TH STREET, NORTH RIVERSIDE, IL 60546 (Tel: 7084428899)

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Updated Business Mailing Address July 08, 2007

Registered at 7317 W 25TH STREET, NORTH RIVERSIDE, IL 60546 (Tel: 7084428899)

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Organization / Clinic Name Updated July 08, 2007

Operating as CLC VISION LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

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Initial NPI Registration & Enumeration January 09, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1235288564
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 09, 2007
Last Update: August 22, 2020

Mailing Address

7317 W 25th Street

North Riverside, IL 60546

Phone: 7084428899

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.