OrganizationActive
Eagle Optical, Inc.
NPI 1104021179 · Eyewear Supplier · Lansing, IL
Eagle Optical, Inc. is a Eyewear Supplier organization in Lansing, IL (NPI 1104021179).
Provider details
- NPI number
- 1104021179
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Novak, President(708) 474-3500
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2755 Indiana Ave
Lansing, IL 60438-2225
Phone: (708) 474-3500
Fax: (708) 474-3556
Street-level locationGet directions
Mailing address
2755 Indiana Ave
Lansing, IL 60438-2225
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Eagle Optical, Inc.'s NPI number?
- Eagle Optical, Inc.'s National Provider Identifier (NPI) is 1104021179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Optical, Inc.?
- Eagle Optical, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Eagle Optical, Inc. located?
- Eagle Optical, Inc.'s practice location on file with NPPES is 2755 Indiana Ave, Lansing, IL 60438-2225.
- What is Eagle Optical, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Eagle Optical, Inc. is (708) 474-3500.
- Who is the authorized official for Eagle Optical, Inc.?
- The authorized official listed on Eagle Optical, Inc.'s NPPES record is James Novak, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Optical, Inc.'s NPI active?
- Yes — Eagle Optical, Inc.'s NPI (1104021179) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.