| NPI | 1053572255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E BEDFORD O PT Ometrist/Owner 217-422-8032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 467080) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |