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Organization

OPTICA EYE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL LYNN KOPKE (OWNER)
(708) 344-1010
Entity
Organization

Contact information

Practice address
115 N 19TH AVE, MELROSE PARK, IL 60160-3702
(708) 344-1010
Mailing address
115 N 19TH AVE, MELROSE PARK, IL 60160-3702
(708) 344-1010

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009159
IL

Other

Enumeration date
12/26/2006
Last updated
07/25/2013
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