| NPI | 1952510026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY MARK HERZBERG Managing Member 630-851-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| 152WV0400X Optometrist Vision Therapy | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |