# KOSIBA OPTOMETRY LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407246788
- **Authorized official:** ERICA KOSIBA O.D. (DOCTOR OF OPTOMETRY)
- **Authorized official phone:** (815) 347-4120

## Contact information

- **Practice address:** 485 BRISTOL WAY, CARY, IL 60013-3400
- **Practice address phone:** (815) 347-4120
- **Mailing address:** 485 BRISTOL WAY, CARY, IL 60013-3400
- **Mailing address phone:** (815) 347-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 046-010473 | IL | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015