NPI | 1033442769 |
---|---|
Doing Business As | CARRIE SYPHERD, OD |
Entity Type | Organization |
Authorized Contact | CARRIE SYPHERD Optometrist 815-455-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IL 047931297) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2014-09-17 |