Organization
I.D. OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ALMAGUER (TREASURER)
(773) 755-4343
Entity
Organization
Contact information
Practice address
3337 N HALSTED ST, CHICAGO, IL 60657-2694
(773) 755-4343
Mailing address
3337 N HALSTED ST, CHICAGO, IL 60657-2694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010599
IL
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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