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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOREMAN & STACK OD PC

Active Organization

FOREMAN & STACK OD PC is a Optometrist organization located in GLEN ELLYN, Illinois. NPI 1083803050 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GLEN ELLYN, IL

Registration Details

NPI Number
1083803050
Provider Type
Organization
NPI Issued
Oct 16, 2007 (18.849065772629 yrs)
Last Updated
Feb 16, 2011
Licenses
046007738 (IL)
046007804 (IA)
046007804 (IL)

Practice Information

Address
876 ROOSEVELT RD
GLEN ELLYN, IL, 60137
Browse IL providers · Browse ZIP 60137
Phone
6304692418
Fax
6304694680
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Organizations in GLEN ELLYN, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.