| NPI | 1114008455 |
|---|---|
| Doing Business As | THE OPTOMETRISTS OF THE NORTH SHORE |
| Entity Type | Organization |
| Authorized Contact | RONALD J HENDERSON Owner/Operator 847-498-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 060-008788) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-08-26 |