| NPI | 1205975752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR F. VERBIC Vice President 815-756-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-006198) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-02-22 |