Organization
INDUSTRIAL OPTICAL SERVICE, INC
Active
Other names
Spex
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROITSTEIN O.D. (MANAGING DOCTOR)
(312) 673-7192
Entity
Organization
Contact information
Practice address
2154 W ROSCOE ST, UNIT C, CHICAGO, IL 60618-6975
(773) 525-2202
Mailing address
115 S LASALLE, 27TH FLOOR, CHICAGO, IL 60603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
—
01
—
7235044
AETNA
—
Enumeration date
03/29/2012
Last updated
03/29/2012
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