Organization
ELITE OPTICAL LOOK DBA PEARLE VISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA LIGHT (OWNER)
(312) 644-0885
Entity
Organization
Contact information
Practice address
410 N MICHIGAN AVE, CHICAGO, IL 60611-4213
(312) 644-0885
(312) 222-1127
Mailing address
410 N MICHIGAN AVE, CHICAGO, IL 60611-4213
(312) 644-0885
(312) 222-1127
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1817003
IL
Other
Enumeration date
05/25/2007
Last updated
09/07/2007
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