| 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 |