Organization
VISION CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BANNA O.D. (OPTOMETRIST)
(773) 678-1269
Entity
Organization
Contact information
Practice address
8780 W GOLF RD, NILES, IL 60714-5602
(847) 768-1900
Mailing address
8780 W GOLF RD, NILES, IL 60714-5602
(847) 768-1900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010791
IL
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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