Organization
STEVENS OPTOMETRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M STEVENS OD (PRESIDENT)
(773) 836-4110
Entity
Organization
Contact information
Practice address
1601 N HARLEM AVE, CHICAGO, IL 60707-4303
(773) 836-4110
(773) 637-1109
Mailing address
1601 N HARLEM AVE, CHICAGO, IL 60707-4303
(773) 836-4110
(773) 637-1109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007603
IL
Other
Enumeration date
01/19/2012
Last updated
07/19/2012
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