NPI | 1841202025 |
---|---|
Doing Business As | BIRCH OPTICAL |
Entity Type | Organization |
Authorized Contact | MONIKA SPOKAS Optometrist 1630-677-2769 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL IL046009498) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2010-04-30 |