Ostoich Optical

NPI 1205058963 - Optometrist - 152W00000X

NPI Details
NPI 1205058963
Enumeration Date 05/03/2007
Last Updated 05/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRENT G. BRENT
Position PHYSICIAN OWNER
Phone (773) 631-2980
Fax (773) 631-2842
Practice Location
7447 W TALCOTT AVE
#300
CHICAGO IL, 60631-3745, US
Phone (773) 631-2980
Fax (773) 631-2842
Business Location
7447 W TALCOTT AVE
#300
CHICAGO IL, 60631-3745, US
Phone (773) 631-2980
Fax (773) 631-2842
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 060008860
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According to our database, Ostoich Optical NPI is 1205058963, taxonomy code is 152W00000X and license number is 060008860, license state is located at Illinois. Ostoich Optical physically located at 7447 W Talcott Ave, Chicago IL, 60631-3745. NPI Number 1033115704 has the healthcare provider type.

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1205058963 NPI number is provided on an as is basis without warranty of any kind. 1205058963 is maintained by the National Plan & Provider Enumeration System. The contents of Ostoich Optical are for informational purposes only.