Organization
PEARLE VISION
Active
Other names
eyeworks of chicago dba
Organization subpart
No
Provider details
NPI number
Authorized official
BOB ROYTMAN (PRESIDENT)
(773) 284-9844
Entity
Organization
Contact information
Practice address
5109 S PULASKI -D, CHICAGO, IL 60632-4219
(773) 284-9844
Mailing address
5109 S PULASKI -D, CHICAGO, IL 60632-4219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3460097
IL
152W00000X
Optometrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104769
EYEMED
IL
Enumeration date
05/25/2007
Last updated
08/22/2020
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