Organization
95TH VISION CENTER LLC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR PATEL O.D. (OWNER)
(708) 482-7744
Entity
Organization
Contact information
Practice address
3541 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 425-4162
Mailing address
3541 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 425-4162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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