| NPI | 1770109787 |
|---|---|
| Doing Business As | EDGEBROOK VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | AMEERA SULAKHE Optometrist 773-775-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |