Provider Demographics
NPI:1285804914
Name:OAKBROOK OPTICAL LLC
Entity type:Organization
Organization Name:OAKBROOK OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCESCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-571-0399
Mailing Address - Street 1:1600 16TH ST
Mailing Address - Street 2:T10
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1302
Mailing Address - Country:US
Mailing Address - Phone:630-571-0399
Mailing Address - Fax:
Practice Address - Street 1:1600 16TH ST
Practice Address - Street 2:T10
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1302
Practice Address - Country:US
Practice Address - Phone:630-571-0399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2233894OtherBCBS
ILDO0929OtherRRMED
ILDO0929OtherRRMED
IL4802610001Medicare NSC