| NPI | 1790974806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH GEBERT Owner 847-540-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008413) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2022-07-28 |