Hardesty Eye Care Associates Llc

NPI 1043566870 - Optometrist - 152W00000X

NPI Details
NPI 1043566870
Enumeration Date 07/30/2012
Last Updated 06/10/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LEONARD B. LEONARD
Position OWNER
Phone (630) 960-0456
Fax (630) 960-9521
Practice Location
3800 HIGHLAND AVE
SUITE 100
DOWNERS GROVE IL, 60515-1557, US
Phone (630) 960-0456
Fax (630) 960-9521
Business Location
3800 HIGHLAND AVE
SUITE 100
DOWNERS GROVE IL, 60515-1557, US
Phone (630) 960-0456
Fax (630) 960-9521
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 466855
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According to our database, Hardesty Eye Care Associates Llc NPI is 1043566870, taxonomy code is 152W00000X and license number is 466855, license state is located at Illinois. Hardesty Eye Care Associates Llc physically located at 3800 Highland Ave, Downers Grove IL, 60515-1557. NPI Number 1033115704 has the healthcare provider type.

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1043566870 NPI number is provided on an as is basis without warranty of any kind. 1043566870 is maintained by the National Plan & Provider Enumeration System. The contents of Hardesty Eye Care Associates Llc are for informational purposes only.