Organization
MATTHEW W. GIFFORD, O.D., P.C
Active
Other names
Red Eye Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW W GIFFORD DO (PRESIDENT)
(773) 368-6471
Entity
Organization
Contact information
Practice address
2158 N DAMEN AVE, CHICAGO, IL 60647-9597
(773) 368-6471
Mailing address
2158 N DAMEN AVE, CHICAGO, IL 60647-9597
(773) 368-6471
(773) 782-1501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009054
IL
Other
Enumeration date
05/16/2013
Last updated
02/11/2020
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