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

Southport Eye Associates Ltd

Organization Optometrist · NPI 1639302383

Southport Eye Associates Ltd is an Optometrist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3539 N Southport Ave
Chicago, IL 60657
Phone: (773) 871-2020
Fax: (773) 871-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.009541 (IL)

Record details

NPI number1639302383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Sculley — Optometrist · (773) 871-2020
Other names Custom Eyes
NPI enumeratedAugust 28, 2009
Last updated in NPPESMay 24, 2018
Mailing address3539 N Southport Ave, Chicago, IL 60657-6447

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