NPI | 1548409501 |
---|---|
Doing Business As | COMPASS EYE CARE |
Entity Type | Organization |
Authorized Contact | ALBERT SIMON LICUP President 708-383-2150 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.009863) |
Enumeration Date | 2009-02-16 |
Last Update Date | 2010-12-01 |