| NPI | 1639302383 |
|---|---|
| Doing Business As | CUSTOM EYES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCULLEY Optometrist 773-871-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.009541) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2018-05-24 |