| NPI | 1215688619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINAS SPOURDALAKIS President 708-848-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |