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
4740 N LINCOLN AVE, CHICAGO, IL 60625-2247
(773) 275-2900
(773) 275-1307
Mailing address
4740 N LINCOLN AVE, CHICAGO, IL 60625-2247
(773) 275-2900
(773) 275-1307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0757500015
MEDICARE DME
—
01
—
1636706
BCBS
IL
01
—
7235044
AETNA
IL
Enumeration date
05/20/2010
Last updated
12/16/2010
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