| NPI | 1629256730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERVI HANNELE LEYENDECKERS Dr Of O PT Ometry 217-222-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 046008462) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-06-25 |