| NPI | 1497121784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEMER Biller 847-309-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |