| NPI | 1437326808 |
|---|---|
| Doing Business As | WILSON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DAVID D DEWAARD Owner/President 773-271-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 046007174) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-03-29 |