Organization
THE OPTICAL PLACE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E HINES O.D. (PRESIDENT)
(773) 838-8245
Entity
Organization
Contact information
Practice address
4401 W 63RD ST, CHICAGO, IL 60629-5530
(773) 838-8245
(773) 284-8746
Mailing address
4401 W 63RD ST, CHICAGO, IL 60629-5530
(773) 838-8245
(773) 284-8746
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
047-047825
IL
Other
Enumeration date
02/15/2007
Last updated
07/12/2011
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