| 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 |