NPI | 1578636825 |
---|---|
Entity Type | Organization |
Authorized Contact | MILLICENT L KNIGHT President CEO 847-864-4768 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008145) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-12-03 |