| 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 (Equipment, not the service) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-11-04 |