Advanced Family Eyecare Center of Bolingbrook,inc.
NPI 1275802605ActiveOrganization· Optometrist· Bolingbrook, IL
Optometrist in Bolingbrook, Illinois, registered in NPPES in December 2011. The authorized official on file is Joseph William Subak, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275802605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2011 |
| Last updated in NPPES | Aug 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046-007833 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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