| NPI | 1366617631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEVINE Owner 847-680-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 047928957) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2013-11-22 |