Organization
SPECTRIOS INSTITUTE FOR LOW VISION
Active
Other names
Deicke Center for Visual Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R TRACY WILLIAMS OD (EXECUTIVE DIRECTOR)
(630) 690-7115
Entity
Organization
Contact information
Practice address
219 E COLE AVE, WHEATON, IL 60187
(630) 690-7115
(630) 690-9037
Mailing address
219 E COLE AVE, WHEATON, IL 60187
(630) 690-7115
(630) 690-9037
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002221432
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/15/2006
Last updated
01/23/2015
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