| NPI | 1154917375 |
|---|---|
| Doing Business As | PROFESSIONAL EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S RUSSELL Owner, Optometrist 630-355-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2020-12-13 |