Organization
DEKALB OPTICAL SHOP LLC
Active
Other names
Hauser-Ross Optical
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (CHIEF EXECUTIVE OFFICER)
(469) 214-0144
Entity
Organization
Contact information
Practice address
2240 GATEWAY DR, SYCAMORE, IL 60178-3103
(815) 756-5897
(815) 756-6263
Mailing address
2240 GATEWAY DR, SYCAMORE, IL 60178-3103
(815) 756-5897
(815) 756-6263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
02/05/2020
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