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Optometrist in Naperville, IL. Organization (NPI-2).

NPI number1346150596
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1346150596
Entity type
Organization (NPI-2)
Legal business name
See INC
Organization subpart
No
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

214 S Main St
Naperville, IL 60540-5350

Phone 248-354-7100 · Fax 248-353-1603

Mailing address

19800 W 8 Mile Rd
Southfield, MI 48075-5730

Phone 248-354-7100 · Fax 248-353-1603

Authorized official

Yola B Atwood
Credentialing And Billing
2487212872

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