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Organization

OSSIP MANAGEMENT SOLUTIONS, LLC

Active
Other names
Prairie Eyecare Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGG L OSSIP OD (PRESIDENT)
(815) 756-3010
Entity
Organization

Contact information

Practice address
3272 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 756-3010
(815) 756-3701
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010541
IL

Other

Enumeration date
04/12/2013
Last updated
10/09/2014
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