| NPI | 1053536375 |
|---|---|
| Doing Business As | EYE PHYSICIANS GLASSES |
| Entity Type | Organization |
| Authorized Contact | BRUCE J GOLDSTICK Owner 847-675-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-12-22 |