| NPI | 1457618621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CUTLER Optometrist 815-729-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009118) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009198) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-12-17 |