NPI | 1750566188 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH GAIL ZELINSKY Owner 847-501-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046007834) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046007834) |
152WP0200X Optometrist, Pediatrics (Licence: IL 046007834) | |
152WV0400X Optometrist, Vision Therapy (Licence: IL 046007834) | |
Enumeration Date | 2008-01-03 |
Last Update Date | 2016-02-12 |