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BOLINGBROOK VISION SOURCE INC.
NPI 1902129604
Optometrist in Bolingbrook, IL

Active since March 09, 2010
492 W BOUGHTON RD, BOLINGBROOK, IL 60440(630) 759-4396(630) 759-7761 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolingbrook Vision Source Inc. NPPES

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

BOLINGBROOK VISION SOURCE INC. (NPI 1902129604) is a healthcare organization registered as an optometrist in Bolingbrook, Illinois and active in the NPI registry since March 2010. The organization lists John J. Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1902129604
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBOLINGBROOK VISION SOURCE INC.
Location Address492 W BOUGHTON RDBolingbrook, IL 60440-1441
Mailing Address492 W Boughton RdBolingbrook, IL 60440-1441 · (630) 759-4396 · Fax (630) 759-7761
Phone(630) 759-4396
Fax(630) 759-7761
Organization SubpartNo
Authorized OfficialJohn J. GardnerOwner · (708) 598-1322
Enumeration DateMarch 9, 2010
✔ NPI 1902129604 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 · 046006455
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.
492 W BOUGHTON RD, Bolingbrook, IL 60440
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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 Bolingbrook Vision Source Inc.'s NPI number?

The NPI number for Bolingbrook Vision Source Inc. is 1902129604. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Bolingbrook Vision Source Inc. located?

Bolingbrook Vision Source Inc. is located at 492 W Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 759-4396.

What is Bolingbrook Vision Source Inc.'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 Bolingbrook Vision Source Inc. was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.