NPI | 1558546713 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL A. SLUSKY President 847-477-5612 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008926) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046-008926) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2021-06-30 |