Organization
BOSS OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PO SEUNG LAM (PRESIDENT)
(312) 388-1388
Entity
Organization
Contact information
Practice address
215 W 23RD ST, CHICAGO, IL 60616-1903
(312) 225-3188
(312) 225-9188
Mailing address
215 W 23RD ST, CHICAGO, IL 60616-1903
(312) 225-3188
(312) 225-9188
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
40093379
IL
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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