Organization
CENTRAL OPTICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICJA ALVAREZ (PRESIDENT)
(773) 282-1718
Entity
Organization
Contact information
Practice address
5526 W BELMONT AVE, CHICAGO, IL 60641-4129
(773) 282-1718
Mailing address
5526 W BELMONT AVE, CHICAGO, IL 60641-4129
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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