Organization
OPTICA2000, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PRIETO (OWNER/OPERATOR)
(312) 942-0407
Entity
Organization
Contact information
Practice address
819 N ASHLAND AVE, CHICAGO, IL 60622-5102
(312) 942-0407
(312) 942-0741
Mailing address
819 N ASHLAND AVE, CHICAGO, IL 60622-5102
(312) 942-0407
(312) 942-0741
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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