Organization
OPTICAL88 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAYUAN LI (OPTICIAN)
(312) 842-1888
Entity
Organization
Contact information
Practice address
610 W 31ST ST, CHICAGO, IL 60616-3023
(312) 842-1888
Mailing address
610 W 31ST ST, CHICAGO, IL 60616-3023
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
171913
IL
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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