Organization
BLW OPTICAL, INC
Active
Other names
American Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE WILLIAMS OD (OWNER)
(708) 425-4350
Entity
Organization
Contact information
Practice address
9617 S WESTERN AVE, CHICAGO, IL 60643-1722
(708) 425-4350
(708) 425-4359
Mailing address
9617 S WESTERN AVE, CHICAGO, IL 60643-1722
(708) 425-4350
(708) 425-4359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008205
IL
Other
Enumeration date
09/20/2006
Last updated
12/17/2013
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