NPI | 1871041756 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARITA SMITH Optometrist 312-397-0403 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
152WL0500X Optometrist, Low Vision Rehabilitation | |
152WP0200X Optometrist, Pediatrics | |
152WV0400X Optometrist, Vision Therapy | |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-10-12 |