NPI | 1154650539 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL SCOTT TRESLEY Owner 847-291-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: IL 036077219) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2022-03-30 |