NPI | 1497881502 |
---|---|
Former Legal Business Name | FAMILY VISION CONSULTANTS, LTD. |
Entity Type | Organization |
Authorized Contact | AMBER LYNN DAWSON President 312-545-4157 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009081) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2012-12-11 |