| NPI | 1891052486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ELISE BEUTE Optometrist/Owner 773-348-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009079) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |