| NPI | 1477703411 |
|---|---|
| Doing Business As | EDWARDSVILLE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA J. LEVI Optometrist 618-656-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010111) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2016-05-31 |