Organization
KEN MIA VISION LLC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR GARCIA (PRESIDENT)
(708) 802-1553
Entity
Organization
Contact information
Practice address
14702 CICERO AVE, MIDLOTHIAN, IL 60445-3173
(708) 687-2115
Mailing address
14702 CICERO AVE, MIDLOTHIAN, IL 60445-3173
(708) 687-2115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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