IndividualActive
Mark Vidas, O.D.
NPI 1881787901 · Corneal and Contact Management Optometrist · Bourbonnais, IL
Provider details
- NPI number
- 1881787901
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046007828 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
135 W River St
Bourbonnais, IL 60914-1964
Phone: (815) 939-2222
Fax: (815) 939-0970
Approximate (ZIP-level) locationGet directions
Mailing address
101 Terrace Ct
Bourbonnais, IL 60914-0806
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.