Provider Demographics
NPI:1144361320
Name:ORLAND EYEWORKS, LTD
Entity type:Organization
Organization Name:ORLAND EYEWORKS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:VROEGH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-633-0060
Mailing Address - Street 1:15410 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4333
Mailing Address - Country:US
Mailing Address - Phone:708-633-0060
Mailing Address - Fax:708-633-0077
Practice Address - Street 1:15410 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4333
Practice Address - Country:US
Practice Address - Phone:708-633-0060
Practice Address - Fax:708-633-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
410048591Medicare PIN
IL0920080001Medicare NSC
IL410048590Medicare PIN
ILCK3860Medicare PIN
IL200210Medicare PIN