Organization
INDUSTRIAL OPTICAL SERVICE INC
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROITSTEIN O.D. (MANAGING DOCTOR)
(312) 945-7192
Entity
Organization
Contact information
Practice address
1212 N WELLS ST, CHICAGO, IL 60610-5693
(312) 664-2020
(312) 664-2021
Mailing address
1212 N WELLS ST, CHICAGO, IL 60610-5693
(312) 664-2020
(312) 664-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
01/12/2015
Last updated
01/12/2015
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