Organization
INTERSTATE OPTICAL LBR INC
Active
Other names
marquette vision center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE STEPHENS (OPTICIAN)
(708) 479-6232
Entity
Organization
Contact information
Practice address
9612 WILLOW LN, MOKENA, IL 60448-9318
(708) 479-6232
Mailing address
9612 WILLOW LN, MOKENA, IL 60448-9318
(708) 479-6232
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
10/19/2007
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