Organization
RES OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY NGO (PRACTICE ADMINISTRATOR)
(773) 775-0811
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE STE 300, CHICAGO, IL 60631-3714
(773) 775-0811
(773) 819-7013
Mailing address
7447 W TALCOTT AVE STE 300, CHICAGO, IL 60631-3714
(773) 775-0811
(773) 819-7013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033421227
NPI
—
01
—
1043335094
NPI
—
Enumeration date
09/23/2020
Last updated
11/27/2023
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