For Eyes Optical Of PA
Optometrist in Vernon Hills, IL. Organization (NPI-2).
NPI number1770057762
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1770057762
- Entity type
- Organization (NPI-2)
- Legal business name
- For Eyes Optical Of PA
- Organization subpart
- No
- Enumeration date
- Jan 14, 2019
- Last updated
- Jan 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
271 W Townline Rd Ste 120Vernon Hills, IL 60061-4333
Phone 847-918-0424
Mailing address
3601 Sw 160th Ave Ste 400Miramar, FL 33027-6312
Phone 305-557-9004
Authorized official
Kim Griffin
Manager
3055579004
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