| NPI | 1346382074 |
|---|---|
| Doing Business As | CORONA OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | BARBARA A ROOS Billing Manager 630-541-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12354T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 12354T) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 12354T) | |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 12354T) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-12-15 |