Organization
ASSOCIATED OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE SPENCER SYPHERD O.D. (DOCTOR)
(630) 820-1303
Entity
Organization
Contact information
Practice address
4050 HEALTHWAY DR, SUITE 100, AURORA, IL 60504-8183
(630) 820-1303
Mailing address
4050 HEALTHWAY DR, SUITE 100, AURORA, IL 60504-8183
(630) 820-1303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009482
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992756290
—
IL
Enumeration date
08/12/2008
Last updated
08/12/2008
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