NPI 1487605762

Teresa Beth Eide, OD

Practitioner Optometrist Broadview, IL

Practice location

Address: 122 Broadview Village Sq, Broadview, IL 60155-4874
Phone: (708) 343-2099
Mailing address: 1423 W Fillmore St # 2, Chicago, IL 60607-4615

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 591 (SD)

Registry record

NPI: 1487605762
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2006
Record last updated: 11 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.