| NPI | 1962734129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JUNE BOYCE President 847-518-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2011-01-14 |