| NPI | 1417123803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE C. WASHINGTON President/ Optometrist 773-363-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008653) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2009-06-24 |