| NPI | 1952713760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER YANEZ Member 312-316-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |