Organization
OPTIMUM VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA JOHNSON MD (PHYSICIAN)
(773) 752-3900
Entity
Organization
Contact information
Practice address
7257 S JEFFERY BLVD, CHICAGO, IL 60649-3014
(773) 752-3900
(773) 493-8837
Mailing address
7257 S JEFFERY BLVD, CHICAGO, IL 60649-3014
(773) 752-3900
(773) 493-8837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
036055856
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18175
DAVIS EYE VISION
—
01
—
919248
EYE MED
IL
01
—
921513
BLOCK VISION
—
Enumeration date
07/23/2008
Last updated
07/23/2008
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