OrganizationActive
Pupil Vision Center
NPI 1982005260 · Optometric Technician · Chicago, IL
Provider details
- NPI number
- 1982005260
- Entity type
- Organization
- Primary specialty
- Optometric TechnicianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Renee Russo, Administrator(312) 350-8269
Specialties & taxonomies
Eye and Vision Services Providers
- Health Maintenance Organization302R00000X
Managed Care Organizations
Practice location
5233 N Lincoln Ave
Chicago, IL 60625-2405
Phone: (312) 350-8269
Approximate (ZIP-level) locationGet directions
Mailing address
5233 N Lincoln Ave
Chicago, IL 60625-2405
Registry dates
- Enumerated
- 2014-09-05
- Last updated
- 2014-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.