Organization
LAWRENCE GREENSPAN PROFESSIONAL CORPORATION
Active
Other names
GREENSPAN OPTOMETETRIC ASSOC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD E. GREENSPAN O.D. (PRESIDENT)
(708) 754-0080
Entity
Organization
Contact information
Practice address
366 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1758
(708) 754-0080
(708) 754-0089
Mailing address
366 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1758
(708) 754-0080
(708) 754-0089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211032
—
IL
Enumeration date
11/05/2007
Last updated
11/11/2008
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