Organization
OPTICA 2000
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL PRIETO (MANAGER)
(773) 862-5000
Entity
Organization
Contact information
Practice address
2706 N MILWAUKEE AVE, CHICAGO, IL 60647-1308
(773) 862-5000
(773) 862-5059
Mailing address
2706 N MILWAUKEE AVE, CHICAGO, IL 60647-1308
(773) 862-5000
(773) 862-5059
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2152593
IL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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