CRYSTAL LAKE OPHTHALMOLOGY ASSOCIATES PC - NPI 1669530838

Q: What is Crystal Lake Ophthalmology Associates PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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About Crystal Lake Ophthalmology Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE OPHTHALMOLOGY ASSOCIATES PC (NPI 1669530838) is a healthcare organization registered as an ophthalmology in Crystal Lake, Illinois and active in the NPI registry since December 2006. The organization lists Edward Geo Dolezal, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1669530838

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameCRYSTAL LAKE OPHTHALMOLOGY ASSOCIATES PC

Location Address280A MEMORIAL CT, 280A MEMORIAL CTCrystal Lake, IL 60014-6233

Mailing Address280a Memorial CtCrystal Lake, IL 60014-6233 · (815) 455-4222 · Fax (815) 455-5093

Phone(815) 455-4222

Fax(815) 455-5093

Organization SubpartNo

Authorized OfficialEdward Geo DolezalPhysician Owner · (815) 455-4222

Enumeration DateDecember 4, 2006

Last NPPES UpdateFebruary 28, 2011

✔ NPI 1669530838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036070162

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

280A MEMORIAL CT, Crystal Lake, IL 60014

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Other Identifiers 7

Medicare PIN210669IL

Medicare PIN210953IL

Other180038854Railroad Medicare

Medicare PIN210954IL

Medicaid036070162IL

Medicare NSC5359120001IL

Medicare UPIND29320

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lake Ophthalmology Associates PC's NPI number?

The NPI number for Crystal Lake Ophthalmology Associates PC is 1669530838. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Crystal Lake Ophthalmology Associates PC located?

Crystal Lake Ophthalmology Associates PC is located at 280A Memorial Ct 280A Memorial Ct, Crystal Lake, IL 60014. The listed phone number is (815) 455-4222.

What is Crystal Lake Ophthalmology Associates PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Ophthalmology Associates PC was last updated on February 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.