NPI | 1265786925 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA M RALICK Owner/Optometrist 773-750-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003290A) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2013-03-06 |