Organization
EYE DOC INC
Active
Other names
Lisa Tung OD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA TUNG (PRESIDENT)
(708) 614-6849
Entity
Organization
Contact information
Practice address
16020 HARLEM AVE, TINLEY PARK, IL 60477-1612
(708) 614-6849
(708) 614-6864
Mailing address
16020 HARLEM AVE, TINLEY PARK, IL 60477-1612
(708) 614-6849
(708) 614-6864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009552
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460009552
—
IL
Enumeration date
11/01/2010
Last updated
02/14/2019
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