OrganizationActive
Annmarie Surdich-Pitra OD PC
NPI 1194055525 · Health Maintenance Organization · Lisle, IL
Provider details
- NPI number
- 1194055525
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Annmarie Surdich-Pitra, Optometrist(630) 541-3169
- License
- 047935871 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
1712 Ogden Ave Ste D
Lisle, IL 60532-1230
Phone: (630) 541-3169
Fax: (630) 541-5140
Approximate (ZIP-level) locationGet directions
Mailing address
1712 Ogden Ave Ste D
Lisle, IL 60532-1230
Other names (DBA / former)
- Doing business as
- Optometry & Eyewear Gallery
Registry dates
- Enumerated
- 2010-01-07
- Last updated
- 2010-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.