| NPI | 1417456195 |
|---|---|
| Doing Business As | PALOS VISION CARE, LTD |
| Entity Type | Organization |
| Authorized Contact | EDWARD L MONTWILL President 708-789-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-06-16 |