Organization
EYE2EYE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISANNE CLOSE ROGERS O.D. (PRESIDENT)
(847) 920-5135
Entity
Organization
Contact information
Practice address
521 PARK DR FRNT 1B, KENILWORTH, IL 60043-1099
(847) 920-5135
(847) 920-5137
Mailing address
521 PARK DR FRNT 1B, KENILWORTH, IL 60043-1099
(847) 920-5135
(847) 920-5137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008884
IL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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