| NPI | 1235397449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P. WALSH Managing Member 217-698-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008528) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2008-09-16 |