Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bolingbrook Vision Source Inc

Organization Optometrist · NPI 1902129604

Bolingbrook Vision Source Inc is an Optometrist in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

492 W Boughton Rd
Bolingbrook, IL 60440-1441
Phone: (630) 759-4396
Fax: (630) 759-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046006455 (IL)

Record details

NPI number1902129604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gardner — Owner · (708) 598-1322
NPI enumeratedMarch 9, 2010
Last updated in NPPESMarch 9, 2010
Mailing address492 W Boughton Rd, Bolingbrook, IL 60440-1441

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