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Organization

AFFORDABLE OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. INNA AZRIKAN (PRESIDENT)
(847) 855-9009
Entity
Organization

Contact information

Practice address
6170 WEST GRAND AVE, #451, GURNEE, IL 60031
(847) 855-9009
(847) 855-9008
Mailing address
6170 WEST GRAND AVE, #451, GURNEE, IL 60031
(847) 855-9009
(847) 855-9008

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6BL-2008-124
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1L8861
EYE MED
IL
01
AFFORDABLE06
DAVIS
IL
01
AO10091
SPECTERA
IL
Enumeration date
02/21/2008
Last updated
04/20/2008
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