Organization
EYECARE ASSOCIATES LIMITED
Active
Other names
eyecare associates limited
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANIEL ROBY O.D. (PRESIDENT)
(773) 721-8787
Entity
Organization
Contact information
Practice address
1401 E 87TH ST, CHICAGO, IL 60619-6522
(773) 721-8787
Mailing address
1401 E 87TH ST, CHICAGO, IL 60619-6522
(773) 721-8787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008249
—
IL
Enumeration date
05/24/2007
Last updated
02/23/2009
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