| NPI | 1588831614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA COX Administrative Assistant 309-829-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-28 |