Gustafson Eyecare Inc

NPI 1013188374 - Optometrist - 152W00000X

NPI Details
NPI 1013188374
Enumeration Date 03/14/2008
Last Updated 03/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STEVE STEVE
Position OWNER
Phone (630) 554-5188
Fax
Practice Location
1140 DOUGLAS RD
OSWEGO IL, 60543-9040, US
Phone (630) 554-5188
Fax
Business Location
1140 DOUGLAS RD
OSWEGO IL, 60543-9040, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Gustafson Eyecare Inc NPI is 1013188374, taxonomy code is 152W00000X Gustafson Eyecare Inc physically located at 1140 Douglas Rd, Oswego IL, 60543-9040. NPI Number 1033115704 has the healthcare provider type.

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1013188374 NPI number is provided on an as is basis without warranty of any kind. 1013188374 is maintained by the National Plan & Provider Enumeration System. The contents of Gustafson Eyecare Inc are for informational purposes only.