Organization
VISTA EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J ARTIM O.D. (OPTOMETRIST)
(773) 542-2020
Entity
Organization
Contact information
Practice address
3948 W 26TH ST, CHICAGO, IL 60623-3738
(773) 542-2020
Mailing address
3948 W 26TH ST, CHICAGO, IL 60623-3738
(773) 542-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046 8255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780739862
PERSONAL NPI
IL
Enumeration date
11/26/2010
Last updated
11/26/2010
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