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Organization

FOR EYES OPTICAL OF PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization

Contact information

Practice address
141 N WEBER RD, BOLINGBROOK, IL 60490-1504
(630) 378-0878
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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