For Eyes Optical Company of PA
NPI #1073087474 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1073087474
- Entity Type
- Organization
- Organization Name
- For Eyes Optical Company of PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 18, 2019
- Last Updated
- Jan 18, 2019
Practice Location
- Address
- 9900 S RIDGLELAND AVE
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60643
- Phone
- (708) 422-9390
Authorized Official
- Name
- JOSE COSTA
- Title
- CEO
- Phone
- (954) 305-9004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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