NPI | 1548484082 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY FAHY President 773-685-0363 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
152WP0200X Optometrist, Pediatrics | |
152WS0006X Optometrist, Sports Vision | |
152WV0400X Optometrist, Vision Therapy | |
152WV0400X Optometrist, Vision Therapy (Licence: IL 046007793) | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2012-07-05 |