Organization
EYEMART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE ACKERMAN (OWNER)
(815) 672-1161
Entity
Organization
Contact information
Practice address
104 E MAIN ST, STREATOR, IL 61364-2901
(815) 672-1161
(815) 672-7581
Mailing address
104 E MAIN ST, STREATOR, IL 61364-2901
(815) 672-1161
(815) 672-7581
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1013061795
IL
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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