| NPI | 1144658964 |
|---|---|
| Doing Business As | TINLEY PARK EYECARE |
| Entity Type | Organization |
| Authorized Contact | GREGG L OSSIP President 317-254-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007838) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2014-10-09 |