NPI | 1053857078 |
---|---|
Doing Business As | EYE CARE AT HOME |
Entity Type | Organization |
Authorized Contact | KRYSTLE J MILLER President/Optometrist 708-770-6404 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010696) |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |