| NPI | 1265621361 |
|---|---|
| Doing Business As | DAVIS EYECARE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JASON DAVIS Administrative Asst. 708-636-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: IL 046004083) |
| 305R00000X Preferred Provider Organization (Licence: IL 046007173) | |
| 305R00000X Preferred Provider Organization (Licence: IL 046009277) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2022-08-03 |