| NPI | 1689753675 |
|---|---|
| Doing Business As | LIBERTYVILLE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | MARVIN HAROLD HEIMLICH Owner 847-362-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-03-31 |