Organization
FULL SAIL PARTNERS
Active
Other names
Vision Center@Meijer
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BERTRAND (RECEPTIONIST)
(574) 936-8144
Entity
Organization
Contact information
Practice address
755 E BOUGHTON RD, BOLINGBROOK, IL 60440-2250
(630) 783-0225
(630) 783-0225
Mailing address
PO BOX 8782, KENTWOOD, MI 49518-8782
(616) 455-8434
(616) 455-8434
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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