Optical88 Corp
Technician/Technologist, Optician in Chicago, IL. Organization (NPI-2).
NPI number1982147435
StatusActive
Last updated in NPPESNov 30, 2016
Details
- NPI
- 1982147435
- Entity type
- Organization (NPI-2)
- Legal business name
- Optical88 Corp
- Organization subpart
- No
- Enumeration date
- Nov 30, 2016
- Last updated
- Nov 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 171913 | IL | Yes |
Practice location
610 W 31st StChicago, IL 60616-3023
Phone 312-842-1888
Mailing address
610 W 31st StChicago, IL 60616-3023
Authorized official
Yayuan Li
Optician
3128421888
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