NPI | 1174666432 |
---|---|
Other Name | OPTICAL DEPARTMENT |
Entity Type | Organization |
Authorized Contact | LISA WOHL Medical Director 630-351-2030 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2007-02-15 |
Last Update Date | 2008-11-04 |