NPI | 1972615391 |
---|---|
Doing Business As | LAKE ZURICH EYECARE |
Entity Type | Organization |
Authorized Contact | SCOTT D POUYAT President 847-997-1477 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 46009065) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2017-06-28 |