Organization
ADVANCED FOCUS VISION CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BOUTON O.D. (OPTOMETRIST PRESIDENT)
(815) 467-0077
Entity
Organization
Contact information
Practice address
24735 W EAMES ST, SUITE 11, CHANNAHON, IL 60410-8705
(815) 467-0077
(815) 467-0088
Mailing address
24735 W EAMES ST, SUITE 11, CHANNAHON, IL 60410-8705
(815) 467-0077
(815) 467-0088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009118
IL
Other
Enumeration date
03/15/2007
Last updated
05/15/2009
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