Organization
CHITTICK OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAGIH A SATAR M.D. (OWNER/PRESIDENT)
(812) 385-2225
Entity
Organization
Contact information
Practice address
1213 STATE STREET, LAWRENCEVILLE, IL 62439-2332
(618) 943-5713
(618) 943-5716
Mailing address
2020 SHERMAN DR, PRINCETON, IN 47670-1045
(812) 385-2225
(812) 385-2314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010205
IL
207W00000X
Ophthalmology Physician
036.064073
IL
Other
Enumeration date
11/09/2006
Last updated
03/19/2024
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