Provider Demographics
NPI:1285746677
Name:CHERYL DOWNING, OD, PC
Entity type:Organization
Organization Name:CHERYL DOWNING, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-953-9165
Mailing Address - Street 1:18W204 KNOLLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3631
Mailing Address - Country:US
Mailing Address - Phone:630-953-9165
Mailing Address - Fax:
Practice Address - Street 1:2131 W GALENA BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3211
Practice Address - Country:US
Practice Address - Phone:630-264-1814
Practice Address - Fax:630-264-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU80195Medicare UPIN