Organization
ROSIN OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A. CHIARAMONTI JR. O.D. (DIRECTOR OF PROFESSIONAL SERVICES)
(630) 546-8319
Entity
Organization
Contact information
Practice address
100 W RANDOLPH ST, SUITE 104, CHICAGO, IL 60601-3218
(312) 263-4909
(312) 263-4932
Mailing address
6233 CERMAK RD, BERWYN, IL 60402-2317
(708) 749-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA2163
MEDICARE RR
—
Enumeration date
05/29/2009
Last updated
05/19/2010
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