Organization
OPTICAL EXPRESSIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MITAL A.B.O.C. (PRESIDENT)
(630) 752-0595
Entity
Organization
Contact information
Practice address
160 DANADA SQ W, WHEATON, IL 60189-2041
(630) 752-0595
(630) 752-0145
Mailing address
160 DANADA SQ W, WHEATON, IL 60189-2041
(630) 752-0595
(630) 752-0145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007064
IL
Other
Enumeration date
01/09/2009
Last updated
10/25/2010
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