| NPI | 1013451723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON WALZ-TARKOWSKI President/ Optometrist 312-504-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1459) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |