IndividualActive
Thomas Stazak, O.D.
NPI 1336177617 · Corneal and Contact Management Optometrist · Lisle, IL
Provider details
- NPI number
- 1336177617
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 046006376 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4760 Main St
Lisle, IL 60532-1724
Phone: (630) 969-2020
Fax: (630) 969-1415
Approximate (ZIP-level) locationGet directions
Mailing address
4760 Main St
Lisle, IL 60532-1724
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2008-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.