NPI | 1295908663 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BECKER Owner 708-754-7111 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |