| NPI | 1093379877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARMINA GUSEYNOVA President 847-404-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-07-13 |