NPI | 1255491775 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH F WHITE Vice President 217-787-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IL 046008999) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
152W00000X Optometrist (Licence: IL 046008999) | |
152W00000X Optometrist (Licence: IL 046009181) | |
156FX1800X Technician/Technologist, Optician | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2010-05-17 |