| NPI | 1720167273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CLINTON VINCELLI President/Optometrist 773-220-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3035) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-05-11 |