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Gm Revelle Inc

Optometrist in Joliet, IL · enumerated 2005 · authorized official Dennis Dettmann, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972597342

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Registry record

Entity type Organization (Type 2)
Legal business name Gm Revelle Inc
Other name <Unavail>
Practice address 2820 Plainfield Rd, Joliet, IL, 60435
Phone (815) 436-1144
Fax (815) 436-1260
Enumeration date Aug 31, 2005
Last updated in NPPES Apr 30, 2008

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Dennis Dettmann
Title Owner
Phone (815) 436-1144

Other identifiers

Identifier Type State Issuer
046007054 Medicaid IL -
9932299 Other IL BC/BS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gm Revelle Inc?
The NPI for Gm Revelle Inc is 1972597342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Gm Revelle Inc?
NPPES lists Dennis Dettmann (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-30.