Organization
WEST SUBURBAN VISION THERAPY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA X WONG OD (OWNING OPTOMETRIST)
(630) 491-4941
Entity
Organization
Contact information
Practice address
1000 JORIE BLVD STE 250, OAK BROOK, IL 60523-2233
(630) 491-4941
(630) 491-8617
Mailing address
1000 JORIE BLVD STE 250, OAK BROOK, IL 60523-2233
(630) 491-4941
(630) 491-8617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
01/30/2026
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