NPI | 1396866323 |
---|---|
Doing Business As | MIDWEST EYE PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | RONALD CARR President 708-361-6141 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 060-007090) |
Additional Taxonomies | 152W00000X Optometrist |
207W00000X Ophthalmology | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2022-08-19 |