| NPI | 1558495176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RANDALL BECHTOLD President 708-386-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009154) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |