| NPI | 1346420072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DIENES Owner 630-627-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 046008922) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2022-01-27 |