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Organization

ONE OR TWO, LTD.

Active
Other names
Pearle Vision
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL D BURGGRAF O.D. (DOCTOR)
(815) 756-3700
Entity
Organization

Contact information

Practice address
3272 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 756-3700
(815) 756-3701
Mailing address
3272 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 756-3700
(815) 756-3701

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
00466713
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046006713
IL
Enumeration date
01/11/2007
Last updated
05/26/2011
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