| NPI | 1881727741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J BURNS Ophthalmologist 815-933-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: IL 036103938) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-12-13 |