| NPI | 1427771823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA X WONG Owning Optometrist 630-491-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-10-26 |