Organization
INDUSTRIAL OPTICAL SERVICE INC.
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROITSTEIN (MANAGING DOCTOR)
(312) 945-7192
Entity
Organization
Contact information
Practice address
724 N WESTERN AVE, LAKE FOREST, IL 60045-1820
(847) 295-2020
(847) 295-2021
Mailing address
724 N WESTERN AVE, LAKE FOREST, IL 60045-1820
(847) 295-2020
(847) 295-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS IL
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
01/09/2015
Last updated
01/09/2015
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