| NPI | 1033381405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE PETER CARMINE Optometrist/Owner 708-895-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 46-6715) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2010-10-18 |