Organization
GALILEO OPTICAL CO.
Active
Parent organization
GALILEO OPTICAL CO.
Other names
Da Vinci Vision Boutique
Organization subpart
Yes
Provider details
NPI number
Legal business name
GALILEO OPTICAL CO.
Authorized official
SALVATORE ARENELLA (PRESIDENT)
(773) 549-2020
Entity
Organization
Contact information
Practice address
1449 W FULLERTON AVE, CHICAGO, IL 60614-8027
(773) 549-2020
Mailing address
1449 W FULLERTON AVE, CHICAGO, IL 60614-8027
(773) 549-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363768679002
—
IL
Enumeration date
12/09/2013
Last updated
01/09/2015
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