NPI | 1194055525 |
---|---|
Doing Business As | OPTOMETRY & EYEWEAR GALLERY |
Entity Type | Organization |
Authorized Contact | ANNMARIE SURDICH-PITRA O PT Ometrist 630-541-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 047935871) |
Enumeration Date | 2010-01-07 |
Last Update Date | 2010-09-16 |