| NPI | 1700221579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE MARZEC Optometrist/President 847-242-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010627) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2014-01-28 |