Organization
INDUSTRIAL OPTICAL SERVICE, INC
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE B ROITSTEIN O.D. (OPTOMETRIST)
(312) 673-7192
Entity
Organization
Contact information
Practice address
122 N OAK PARK AVE, OAK PARK, IL 60301-1304
(708) 524-2020
Mailing address
122 N OAK PARK AVE, OAK PARK, IL 60301-1304
(708) 524-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
Enumeration date
01/11/2011
Last updated
01/11/2011
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