| NPI | 1326161506 |
|---|---|
| Doing Business As | PRISM OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DARLENE BECERRA Secretary 773-205-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |