Organization
INDUSTRIAL OPTICAL SERVICE, INC
Active
Parent organization
INDUSTRIAL OPTICAL SERVICE, INC
Other names
Spex
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDUSTRIAL OPTICAL SERVICE, INC
Authorized official
CARRIE ROITSTEIN OD (MANAGING DOCTOR)
(312) 945-7192
Entity
Organization
Contact information
Practice address
2843 PFINGSTEN RD, GLENVIEW, IL 60026-1153
(847) 205-4500
Mailing address
444 N WABASH AVE STE 320, CHICAGO, IL 60611-3539
(312) 945-7192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636706
BCBS ILLINOIS
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
09/23/2015
Last updated
09/23/2015
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