| NPI | 1821129834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GLENN Optical Manager 708-798-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-07-21 |