NPI | 1003146705 |
---|---|
Doing Business As | SPECS |
Entity Type | Organization |
Authorized Contact | DANIEL LEONARD HAYDEN Owner 217-224-7732 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009104) |
Enumeration Date | 2010-01-04 |
Last Update Date | 2018-11-02 |