NPI | 1154629160 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE ABDALLAH GHANAYEM Optometrist/Owner 773-775-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
152WL0500X Optometrist, Low Vision Rehabilitation | |
152WP0200X Optometrist, Pediatrics | |
152WS0006X Optometrist, Sports Vision | |
152WV0400X Optometrist, Vision Therapy | |
152WX0102X Optometrist, Occupational Vision | |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-03-01 |