Organization
PKT INC
Active
Other names
NEW VISION OPTICAL BOUTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LANIER (OFFICE MANAGER)
(847) 251-3330
Entity
Organization
Contact information
Practice address
120 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 251-3330
(847) 251-9580
Mailing address
120 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 251-3330
(847) 251-9580
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4115 7370
IL
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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