| NPI | 1528282415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. ROBINSON President 815-459-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-007852) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046-007852) |
| 152WP0200X Optometrist, Pediatrics (Licence: IL 046-007852) | |
| 152WS0006X Optometrist, Sports Vision (Licence: IL 046-007852) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: IL 046-007852) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: IL 046-007852) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-05-12 |