For Eyes

NPI 1700946712 - Optometrist - 152W00000X

NPI Details
NPI 1700946712
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EVE EVE
Position OPTOMETRIST
Phone (773) 477-3475
Fax (773) 477-8773
Practice Location
2057 N CLYBOURN AVE
CHICAGO IL, 60614-4003, US
Phone (773) 477-3475
Fax (773) 477-8773
Business Location
2057 N CLYBOURN AVE
CHICAGO IL, 60614-4003, US
Phone (773) 477-3475
Fax (773) 477-8773
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, For Eyes NPI is 1700946712, taxonomy code is 152W00000X For Eyes physically located at 2057 N Clybourn Ave, Chicago IL, 60614-4003. NPI Number 1033115704 has the healthcare provider type.

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1700946712 NPI number is provided on an as is basis without warranty of any kind. 1700946712 is maintained by the National Plan & Provider Enumeration System. The contents of For Eyes are for informational purposes only.