| NPI | 1972597342 |
|---|---|
| Doing Business As | VISION GALLERY |
| Entity Type | Organization |
| Authorized Contact | DENNIS E DETTMANN Owner 815-436-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2008-04-30 |