| NPI | 1720283195 |
|---|---|
| Former Legal Business Name | NORTHSHORE EYE ASSOC OPITCAL |
| Entity Type | Organization |
| Authorized Contact | DANELLE TORRES Practice Administrator 773-973-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-12-28 |