Organization
EYES ON FULTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAORI ASANO O.D. (PRESIDENT)
(310) 903-0908
Entity
Organization
Contact information
Practice address
1011 W FULTON MARKET, CHICAGO, IL 60607-1222
(312) 226-2020
(312) 226-2021
Mailing address
1011 W FULTON MARKET, CHICAGO, IL 60607-1222
(312) 226-2020
(312) 226-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009874
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009874
—
IL
Enumeration date
01/06/2016
Last updated
01/06/2016
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