| NPI | 1942481726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE N CHEVALIER Od/Owner 217-231-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2024-06-05 |