Organization
A & M OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RAY ATKINSON O.D. (OPTOMETRIST)
(815) 338-0107
Entity
Organization
Contact information
Practice address
591 SOUTH EASTWOOD DR, WOODSTOCK, IL 60098-4631
(815) 338-0107
(815) 338-5104
Mailing address
591 SOUTH EASTWOOD DR, WOODSTOCK, IL 60098-4631
(815) 338-0107
(815) 338-5104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632271
BLUE CROSS BLUE SHIELD
—
01
—
1548381635
OFFICE NPI
—
Enumeration date
04/03/2007
Last updated
02/04/2008
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