NPI | 1851304539 |
---|---|
Doing Business As | FAMILY EYE CLINIC |
Entity Type | Organization |
Authorized Contact | JULIE B HENDRICKS Od, Partner, Authorized Official 618-345-0210 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-005800) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2009-12-11 |