NPI | 1104012772 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ROCKS President 847-854-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046009272) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2008-06-23 |