NPI | 1902244387 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE LORETTA MURPHY DUNNE Optometrist 309-749-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002512) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2014-07-31 |