Individual
DOMINICK LOUIS OPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 225-6200
(312) 949-7706
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 225-6200
(312) 949-7706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008976
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008976-1
—
IL
Enumeration date
06/24/2006
Last updated
03/20/2015
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