| NPI | 1376636027 |
|---|---|
| Doing Business As | MARTIN OPTICAL EYECARE |
| Entity Type | Organization |
| Authorized Contact | CORINNE GORMAN Insurance Biller 847-293-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008214) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-009573) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-08-11 |