| NPI | 1881962371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK PATRICK PAVLETIC President 708-403-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-007849) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2012-09-24 |