Organization
ROSIN OPTICAL CO., INC.
Active
Parent organization
ROSIN OPTICAL CO., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSIN OPTICAL CO., INC.
Authorized official
DR. NICHOLAS A. CHIARAMONTI JR. O.D. (DIRECTOR OF PROFESSIONAL SERVICES)
(630) 546-8319
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 906, CHICAGO, IL 60612-3841
(312) 733-7566
Mailing address
1725 W HARRISON ST, SUITE 906, CHICAGO, IL 60612-3841
(312) 733-7566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA2163
MEDICARE RR
—
Enumeration date
05/09/2007
Last updated
11/24/2021
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