Organization
NORWOOD PARK EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK OPITZ O.D. (OPTOMETRIST)
(708) 217-1791
Entity
Organization
Contact information
Practice address
6107 N NORTHWEST HWY, CHICAGO, IL 60631-2127
(773) 315-8372
Mailing address
6107 N NORTHWEST HWY, CHICAGO, IL 60631-2127
(773) 315-8372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
O46008976
IL
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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