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Organization

INDUSTRIAL OPTICAL SERVICE, INC

Active
Other names
Spex
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE ROITSTEIN O.D. (MANAGING DOCTOR)
(312) 945-7192
Entity
Organization

Contact information

Practice address
138 N YORK ST, ELMHURST, IL 60126-2806
(630) 279-2020
Mailing address
138 N YORK ST, ELMHURST, IL 60126-2806
(630) 279-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0163706
BCBS IL
IL
01
7235044
AETNA
IL
01
8825444
MULTIPLAN
IL
Enumeration date
03/30/2015
Last updated
03/30/2015
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