Organization
CHRISTIAN OPTICAL
Active
Parent organization
CHRISITAN OPTICAL
Other names
NONE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISITAN OPTICAL
Authorized official
MRS. NATALIE TRACY ASANTE OPTICAN (OWNER/ MANAGER)
(331) 333-0606
Entity
Organization
Contact information
Practice address
446 75TH ST, DOWNERS GROVE, IL 60516-4454
(331) 333-0606
(331) 333-0606
Mailing address
446 75TH ST, DOWNERS GROVE, IL 60516-4454
(331) 333-0606
(331) 333-0606
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346651940
PERSONAL NPI
IL
Enumeration date
07/22/2014
Last updated
07/21/2022
About Stedi
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