| NPI | 1205046307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PRIETO Owner 312-942-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009499) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046009499) |
| 152WP0200X Optometrist, Pediatrics (Licence: IL 046009499) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: IL 046009499) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |