Organization
NORTH SHORE OPTICAL INC.
Active
Other names
North Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D DEWAARD O. D. (OWNER)
(773) 878-5197
Entity
Organization
Contact information
Practice address
5257 N BROADWAY ST, CHICAGO, IL 60640-2303
(773) 878-5197
(773) 878-5398
Mailing address
5257 N BROADWAY ST, CHICAGO, IL 60640-2303
(773) 878-5197
(773) 878-5398
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007174
IL
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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