NPI | 1851441968 |
---|---|
Doing Business As | SPEX ON CLARK |
Entity Type | Organization |
Authorized Contact | CARRIE B ROITSTEIN Optometrist 773-404-0777 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-22 |