| NPI | 1962796656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MARTIN GAETA Optometrist. Owner 708-614-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008113) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |