Organization
INDUSTRIAL OPTICAL SERVICE INC
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROITSTEIN O.D. (OPTOMETRIST)
(312) 673-7192
Entity
Organization
Contact information
Practice address
2146 N HALSTED ST, CHICAGO, IL 60614-4397
(773) 675-7867
Mailing address
2146 N HALSTED ST, CHICAGO, IL 60614-4397
(773) 675-7867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
Enumeration date
01/11/2007
Last updated
11/05/2012
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