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 |