| NPI | 1023184165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LAWRENCE IWINSKI Vice President 1630-585-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009017) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |