Organization
STOCKMASTER ENTERPRISES INC
Active
Other names
Eye Care At Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTLE J MILLER O.D. (PRESIDENT/OPTOMETRIST)
(708) 770-6404
Entity
Organization
Contact information
Practice address
9750 CRESCENT PARK CIR, 243, ORLAND PARK, IL 60462-7540
(708) 770-6404
Mailing address
9750 CRESCENT PARK CIR, 243, ORLAND PARK, IL 60462-7540
(708) 770-6404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578998936
—
IL
Enumeration date
01/13/2017
Last updated
01/13/2017
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