Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEORGE K WIEGOLD, OPTICIAN
Active Sole ProprietorMR. GEORGE K WIEGOLD, OPTICIAN is a Optician, Dispensing healthcare provider located in LAKE FOREST, Illinois. NPI 1669693628 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LAKE FOREST, IL
Registration Details
- NPI Number
- 1669693628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.248626464119 yrs)
- Last Updated
- Jul 9, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
224 E WESTMINSTER RDLAKE FOREST, IL, 600451840Browse IL providers · Browse ZIP 60045
- Phone
- 8472953290
- Fax
- 8472953291
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| YURI KISILEVICH | — | 1639346158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.