Organization
MAIN STREET OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E HINES O.D. (PARTNER)
(708) 672-1910
Entity
Organization
Contact information
Practice address
1359 MAIN ST, CRETE, IL 60417-3044
(708) 672-1910
(708) 672-1913
Mailing address
1359 MAIN ST, CRETE, IL 60417-3044
(708) 672-1910
(708) 672-1913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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