Organization
BIG CITY OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VYTAUTAS TAMULIS (ADMINISTRATOR)
(815) 483-9504
Entity
Organization
Contact information
Practice address
1350 W 18TH ST, CHICAGO, IL 60608-3148
(815) 483-9504
Mailing address
PO BOX 16974, CHICAGO, IL 60616-0980
(815) 483-9504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009691
—
IL
Enumeration date
02/03/2017
Last updated
03/17/2017
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