Elgin Family Eye Care LLC

NPI #1013484674 in Elgin, Illinois

Provider Information

NPI Number: 1013484674
Entity Type: Organization
Organization Name: Elgin Family Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 31, 2018
Last Updated: Oct 31, 2018

Practice Location

Address: 165 S RANDALL RD
City: Elgin
State: Illinois
ZIP Code: 60123-5551
Phone: (847) 888-1555

Authorized Official

Name: SUSAN M PENNER, OD
Title: MANAGER
Phone: (815) 289-6512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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