| NPI | 1578643698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAYMOND RICHARDSON Owner 630-968-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007060) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 346000246) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-09-16 |