Organization
BEACON EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANGELOS VATIANOU O.D. (OWNER)
(630) 892-1401
Entity
Organization
Contact information
Practice address
2003 MONTGOMERY RD, SUITE 104, AURORA, IL 60504-9078
(630) 892-1401
(630) 892-1404
Mailing address
2003 MONTGOMERY RD, SUITE 104, AURORA, IL 60504-9078
(630) 892-1401
(630) 892-1404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009329
IL
Other
Enumeration date
03/02/2007
Last updated
02/10/2012
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