NPI | 1306338330 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY LUKER Optometrist, President 312-943-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009758) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-16 |