| NPI | 1316291107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BEARD Optometrist 815-534-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 046010583) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2022-04-29 |