| NPI | 1497937403 |
|---|---|
| Doing Business As | SOUTH HOLLAND OPTOMETRIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JASPER JAY GULOTTA Owner 708-333-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2009-08-28 |