Clc Vision LLC
Optometrist, Corneal and Contact Management in North Riverside, IL. Organization (NPI-2).
NPI number1235288564
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1235288564
- Entity type
- Organization (NPI-2)
- Legal business name
- Clc Vision LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WC0802X | Optometrist, Corneal and Contact Management | 046-009637 | IL | Yes |
Other names
- American Vision Center (Doing Business As)
Practice location
7317 W 25th StreetNorth Riverside, IL 60546
Phone 708-442-8899 · Fax 708-442-9466
Mailing address
7317 W 25th StreetNorth Riverside, IL 60546
Phone 708-442-8899 · Fax 708-442-9466
Authorized official
Colby Lee Carter
Owner
7084428899
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