| NPI | 1427196856 |
|---|---|
| Other Name | HAUSER-ROSS OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MARK C. RAFFERTY Optometrist 815-756-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2010-04-16 |