| NPI | 1881135853 |
|---|---|
| Doing Business As | BLOOMINGTON EYE PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | DENNIS M BRTVA Owner 309-213-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-007731) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2022-02-28 |