Jem Optical INC
Optometrist in Norridge, IL. Organization (NPI-2).
NPI number1154465151
StatusActive
Last updated in NPPESJun 17, 2008
Details
- NPI
- 1154465151
- Entity type
- Organization (NPI-2)
- Legal business name
- Jem Optical INC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2007
- Last updated
- Jun 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046008072 | IL | Yes |
Other names
- Pearle Vision Express (Doing Business As)
Practice location
4259 N Harlem AveNorridge, IL 60706-1212
Phone 708-457-2292 · Fax 708-457-1085
Mailing address
4259 N Harlem AveNorridge, IL 60706-1212
Phone 708-457-2292 · Fax 708-457-1085
Authorized official
Alex Marshalkovich
Optometrist
7084572292
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