| NPI | 1750407326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME AGREST Partner Owner 847-657-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: IL 0718540001) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 464927) |
| 152W00000X Optometrist (Licence: IL 467979) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-03-26 |