Organization
WINITZ OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS SCATCHELL OD (OPTOMETRIST/PARTNER)
(773) 458-3230
Entity
Organization
Contact information
Practice address
4151 W PETERSON AVE, CHICAGO, IL 60646-6002
(773) 685-5606
Mailing address
4151 W PETERSON AVE, CHICAGO, IL 60646-6002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469919
—
IL
Enumeration date
05/26/2017
Last updated
08/07/2017
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