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DR. ANTHONY J PRASNIKAR OD

Eye and Vision Services Providers Optometrist

Provider NPI: 1053413930

Provider Information:
DR. ANTHONY J PRASNIKAR OD
Gender: M
Sole Proprietor

Practice Location:
6321 FAIRVIEW AVE SUITE A WESTMONT, IL 60559-2886 US
Tel: 630-852-0102  Fax: 630-852-0260

Business Mailing Address:
6321 FAIRVIEW AVE SUITE A WESTMONT, IL 60559-2886 US
Tel: 630-852-0102  Fax: 630-852-0260

NPI Information:
NPI: 1053413930
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
IL046-007544
N152WC0802XEye and Vision Services Providers
Optometrist
IL046-007544
N152WP0200XEye and Vision Services Providers
Optometrist
IL046-007544
N152WS0006XEye and Vision Services Providers
Optometrist
IL046-007544
N152WV0400XEye and Vision Services Providers
Optometrist
IL046-007544
N152WX0102XEye and Vision Services Providers
Optometrist
IL046-007544
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
IL046-007544
N332BC3200XSuppliers
Durable Medical Equipment & Medical Supplies
IL046-007544
N332H00000XSuppliers
Eyewear Supplier (Equipment, not the service)
IL046-007544

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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