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
5408 N CLARK ST, CHICAGO, IL 60640-1210
(773) 275-2020
Mailing address
115 SOUTH LASALLE STREET, 27TH FLOOR, CHICAGO, IL 60603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BLUE CROSS BLUE SHIELD
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
04/11/2012
Last updated
04/11/2012
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