Organization
JK OPTICAL, INC
Active
Other names
ANERICAN VISION CENTERS/EYEWORLD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ATKENSON JR. O.D. (OFFICER)
(708) 499-3911
Entity
Organization
Contact information
Practice address
10550 S CICERO AVE, OAK LAWN, IL 60453-5267
(708) 499-3911
(708) 424-5318
Mailing address
10550 S CICERO AVE, OAK LAWN, IL 60453-5267
(708) 499-3911
(708) 424-5318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
46007528
IL
152W00000X
Optometrist
Primary
46007555
IL
152WC0802X
Corneal and Contact Management Optometrist
46007528
IL
152WC0802X
Corneal and Contact Management Optometrist
46007555
IL
Other
Enumeration date
12/12/2007
Last updated
10/11/2012
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