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Organization

DR ATHA HYDERI PC

Active
Other names
Primary Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ATHA ALI HYDERI OD (OPTOMETRIST)
(630) 351-0085
Entity
Organization

Contact information

Practice address
833 N ROSELLE RD, ROSELLE, IL 60172-4212
(630) 351-0085
(630) 351-1530
Mailing address
833 N ROSELLE RD, ROSELLE, IL 60172-4212
(630) 351-0085
(630) 351-1530

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL
152WC0802X
Corneal and Contact Management Optometrist
IL
152WL0500X
Low Vision Rehabilitation Optometrist
IL
152WP0200X
Pediatric Optometrist
IL
152WS0006X
Sports Vision Optometrist
IL
152WV0400X
Vision Therapy Optometrist
IL
152WX0102X
Occupational Vision Optometrist
IL

Other

Enumeration date
09/21/2006
Last updated
07/21/2022
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