| NPI | 1457794117 |
|---|---|
| Doing Business As | PRAIRIE EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGG L OSSIP President 815-756-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010541) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2014-10-09 |