Provider Demographics
NPI:1053741645
Name:HMI OPTICAL, INC.
Entity type:Organization
Organization Name:HMI OPTICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKSELRUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-622-1216
Mailing Address - Street 1:2381 LEGENDS CT
Mailing Address - Street 2:
Mailing Address - City:RIVERWOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3856
Mailing Address - Country:US
Mailing Address - Phone:312-622-1216
Mailing Address - Fax:
Practice Address - Street 1:318 MADISON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-2151
Practice Address - Country:US
Practice Address - Phone:877-514-6050
Practice Address - Fax:312-300-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty