NPI | 1528559846 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY A SERPICO Optometrist And Owner 847-924-6452 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009099) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |