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FREDERICK JOHN FAGAN O.D.
NPI 1710153069
Optometrist in Northlake, IL

Active since May 07, 2008
141 W NORTH AVE, NORTHLAKE, IL 60164(708) 492-1425 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick John Fagan O.d. NPPES

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

FREDERICK JOHN FAGAN O.D. (NPI 1710153069) is an individual optometrist in Northlake, Illinois, licensed in Illinois (046006959) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1710153069
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameFREDERICK JOHN FAGANCredential: O.D.
Location Address141 W NORTH AVENorthlake, IL 60164-2322
Mailing Address1109 Oxford CtOakbrook Terrace, IL 60181-5251 · (630) 629-1711
Phone(708) 492-1425
Sole ProprietorYes
Enumeration DateMay 7, 2008
✔ NPI 1710153069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046006959
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
141 W NORTH AVE, Northlake, IL 60164
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM'S CLUB OPTICAL
Eyewear Supplier
141 W NORTH AVE
NORTHLAKE, IL 60164
Cook County (708) 531-0807
DANIEL MICHAEL LYNCH I PHARMD
Pharmacist
141 W NORTH AVE
NORTHLAKE, IL 60164
Cook County (708) 492-1417
SAMS WEST INC
Pharmacy (Community/Retail Pharmacy)
141 W NORTH AVE
NORTHLAKE, IL 60164
Cook County (708) 492-1417

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 Frederick Fagan's NPI number?

The NPI number for Frederick Fagan is 1710153069. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Frederick Fagan located?

Frederick Fagan practices at 141 W North Ave, Northlake, IL 60164. The listed phone number is (708) 492-1425.

What is Frederick Fagan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Frederick Fagan was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.