NPI | 1962637439 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS LEWIS President/Optometrist 312-929-3340 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009794) |
Enumeration Date | 2009-05-27 |
Last Update Date | 2020-09-16 |