Organization
AGELESS EYE CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS LEWIS O.D. (PRESIDENT/OPTOMETRIST)
(312) 929-3340
Entity
Organization
Contact information
Practice address
329 W 18TH ST, #311, CHICAGO, IL 60616-1120
(312) 952-4847
Mailing address
329 W 18TH ST, #311, CHICAGO, IL 60616-1120
(312) 929-3340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009794
IL
Other
Enumeration date
05/27/2009
Last updated
09/16/2020
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