Organization
WELTZER-MAITE, P.C.
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER PAUL VIDULICH O.D. (OWNER)
(773) 327-3000
Entity
Organization
Contact information
Practice address
400 W DIVISION ST, CHICAGO, IL 60610-1727
(312) 274-1212
(773) 327-3015
Mailing address
400 W DIVISION ST, CHICAGO, IL 60610-1727
(312) 274-1212
(773) 327-3015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060-0007483
IL
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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