Organization
FOR EYES OPTICAL OF PENNSYLVANIA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WOLMAN (OWNER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
2555 N CLARK ST, CHICAGO, IL 60614-1768
(773) 929-5553
(773) 929-0908
Mailing address
285 W 74TH PL, HIALEAH, FL 33014-5058
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
09/30/2013
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