Organization
OPTICAL 88 2020 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAYUAN LI (VICE PRESIDENT)
(312) 842-1888
Entity
Organization
Contact information
Practice address
724 W 31ST ST, CHICAGO, IL 60616-3007
(312) 842-1888
Mailing address
724 W 31ST ST, CHICAGO, IL 60616-3007
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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