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Organization
NEW VISION OPTICAL
Active
Organization
NEW VISION OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO ANTMAN (PRESIDENT)
(847) 251-3330
Entity
Organization
Contact information
Practice address
120 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 251-3330
(847) 251-9580
Mailing address
24081 FLINT CREEK DR, LAKE BARRINGTON, IL 60010-1581
(847) 251-3330
(847) 251-9580
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1935
IL
Other
Enumeration date
09/06/2005
Last updated
09/27/2007
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