NPI | 1548381635 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM RAY ATKINSON Optometrist 815-338-0107 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008508) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2008-02-04 |