| NPI | 1588993778 |
|---|---|
| Doing Business As | VISION BOUTIQUE |
| Doing Business As | WEST LOOP EYE CARE |
| Entity Type | Organization |
| Authorized Contact | NEIL ALAN BOLDUS Optometrist 312-432-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009186) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2023-05-08 |