| NPI | 1285818120 | 
|---|---|
| Doing Business As | GRANVILLE VISION CENTER | 
| Entity Type | Organization | 
| Authorized Contact | ERNEST ISAMU WATANABE President 773-465-6660 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 046006692) | 
| Enumeration Date | 2007-12-27 | 
| Last Update Date | 2008-09-09 |