| NPI | 1750330411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSEL T JOHNSON Doctor Of Optometry 708-385-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IL 046007826) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |