| Eye Q Optique | |
|
709 S. Seeley Ave., Chicago, IL 60612 | |
| (312) 872-0201 | |
| (847) 589-1375 |
| Full Name | Eye Q Optique |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 709 S. Seeley Ave., Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093379877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (NU) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (NU) | Secondary |
| 332H00000X | Eyewear Supplier | (NU) | Primary |
| Provider Name | Sandra Rafael |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497801757 PECOS PAC ID: 1759273329 Enrollment ID: I20040330000346 |
| Provider Name | Karen A Olson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881815025 PECOS PAC ID: 6002822772 Enrollment ID: I20060313000617 |
| Provider Name | Debbie L Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669024832 PECOS PAC ID: 5294064085 Enrollment ID: I20230314001913 |
| Provider Name | Jena Gilbertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225773039 PECOS PAC ID: 0345694741 Enrollment ID: I20231003001715 |
| Provider Name | Romaya Ahmed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326812942 PECOS PAC ID: 8325497175 Enrollment ID: I20231206000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Q Optique 722 S Buffalo Grove Rd, Buffalo Grove, IL 60089-3708 Ph: (847) 404-7647 | Eye Q Optique 709 S. Seeley Ave., Chicago, IL 60612 Ph: (312) 872-0201 |