Organization
INDUSTRIAL OPTICAL SERVICE, INC.
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROITSTEIN O.D. (OPTOMETRIST)
31269457192
Entity
Organization
Contact information
Practice address
50 E CHICAGO AVE, CHICAGO, IL 60611-2063
(312) 649-9110
Mailing address
50 E CHICAGO AVE, CHICAGO, IL 60611-2063
(312) 649-9110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
01
—
7235044
AETNA
IL
Enumeration date
01/11/2007
Last updated
07/07/2014
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