Organization
SHORELAND OPTICAL CO #27 INC.
Active
Other names
Pearle Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH GEIDERMAN O.D. (OWNER)
(773) 871-8210
Entity
Organization
Contact information
Practice address
3136 N LINCOLN AVE, CHICAGO, IL 60657-3117
(773) 871-8210
Mailing address
3136 N LINCOLN AVE, CHICAGO, IL 60657-3117
(773) 871-8210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL046007178
IL
Other
Enumeration date
03/29/2007
Last updated
12/17/2014
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