Organization
ROSIN OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A. CHIARAMONTI JR. O.D. (DIRECTOR OF PROFESSIONAL SERVICES)
(630) 546-8319
Entity
Organization
Contact information
Practice address
141 W JACKSON BLVD, CHICAGO, IL 60604-2929
(312) 427-9555
(312) 427-9295
Mailing address
141 W JACKSON BLVD, CHICAGO, IL 60604-2929
(312) 427-9555
(312) 427-9295
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA2163
MEDICARE RR
—
Enumeration date
05/29/2009
Last updated
05/18/2010
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