NPI | 1609163096 |
---|---|
Doing Business As | CORNER OPTICAL |
Entity Type | Organization |
Authorized Contact | KEVIN JOSEPH COUNT President 847-998-4737 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008426) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2011-07-06 |