Organization
BRAVO EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LIAO (OWNER)
(847) 473-2568
Entity
Organization
Contact information
Practice address
3900 FOUNTAIN SQUARE PL, WAUKEGAN, IL 60085-6708
(847) 473-2568
Mailing address
1416 OXFORD DR, BUFFALO GROVE, IL 60089-1012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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