Organization
WELTZER-MAITE,P.C.
Active
Other names
PEARLE VISION EXPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER P VIDULICH O.D. (OWNER)
(773) 327-3000
Entity
Organization
Contact information
Practice address
400 W DIVISION ST, CHICAGO, IL 60610-1727
(312) 274-1212
Mailing address
400 W DIVISION ST, CHICAGO, IL 60610-1727
(312) 274-1212
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
01/22/2009
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