Organization
EAGLE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY NOVAK (VICE PRESIDENT)
(708) 474-3500
Entity
Organization
Contact information
Practice address
3319 RIDGE RD, LANSING, IL 60438-3111
(708) 474-1145
(708) 474-1876
Mailing address
2755 INDIANA AVE, LANSING, IL 60438-2225
(708) 474-3500
(708) 474-3556
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
18038042
IL
Other
Enumeration date
02/20/2007
Last updated
05/29/2008
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