NPI | 1295074425 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN MARGARET TWEED President/Owner 773-220-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009432) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2013-05-22 |