Organization
ENCORE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISA KART (OWNER)
(708) 457-2292
Entity
Organization
Contact information
Practice address
4259 N HARLEM AVE, NORRIDGE, IL 60706-1212
(708) 457-2292
Mailing address
4259 N HARLEM AVE, NORRIDGE, IL 60706-1212
(708) 457-2292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009922
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009922
—
IL
Enumeration date
12/19/2012
Last updated
12/19/2012
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