Organization
INDUSTRIAL OPTICAL SERVICE, INC.
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROITSTEIN O.D. (MANAGING DOCTOR)
(312) 673-7192
Entity
Organization
Contact information
Practice address
1407 N MILWAUKEE AVE, CHICAGO, IL 60622-2015
(773) 276-2020
Mailing address
1407 N MILWAUKEE AVE, CHICAGO, IL 60622-2015
(773) 276-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636706
BCBS
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
02/01/2012
Last updated
02/01/2012
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