NPI | 1649307547 |
---|---|
Doing Business As | FAMILY EYE CARE OF WOODSTOCK, LTD. |
Entity Type | Organization |
Authorized Contact | JESSICA DIXON HEINKE President 815-338-0674 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009519) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2009-08-28 |