Eyes On Elburn Ltd Llc

NPI 1073767950 - Optometrist - 152W00000X

NPI Details
NPI 1073767950
Enumeration Date 11/05/2008
Last Updated 12/06/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KEITH KEITH
Position PRESIDENT
Phone (630) 365-5225
Fax (630) 365-5240
Practice Location
135 S MAIN ST
UNIT 4
ELBURN IL, 60119-9108, US
Phone (630) 365-5225
Fax (630) 365-5240
Business Location
135 S MAIN ST
UNIT 4
ELBURN IL, 60119-9108, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046009169
Remove 1073767950 NPI Number
 

According to our database, Eyes On Elburn Ltd Llc NPI is 1073767950, taxonomy code is 152W00000X and license number is 046009169, license state is located at Illinois. Eyes On Elburn Ltd Llc physically located at 135 S Main St, Elburn IL, 60119-9108. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073767950 NPI number is provided on an as is basis without warranty of any kind. 1073767950 is maintained by the National Plan & Provider Enumeration System. The contents of Eyes On Elburn Ltd Llc are for informational purposes only.