Organization
JASPER GULOTTA
Active
Other names
South Holland Optometric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASPER JAY GULOTTA O.D. (OWNER)
(708) 333-4444
Entity
Organization
Contact information
Practice address
835 E 162ND ST, SOUTH HOLLAND, IL 60473-2465
(708) 333-4444
(708) 333-4454
Mailing address
835 E 162ND ST, SOUTH HOLLAND, IL 60473-2465
(708) 333-4444
(708) 333-4454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
11/30/2007
Last updated
08/28/2009
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