Wendy's Eyeglass Shack, Inc.

NPI #1104081587 in Peoria, Illinois

Provider Information

NPI Number
1104081587
Entity Type
Organization
Organization Name
Wendy's Eyeglass Shack, Inc.
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Jul 24, 2008
Last Updated
Sep 21, 2010

Practice Location

Address
8424 N KNOXVILLE AVE
City
Peoria
ZIP Code
61615-2032
Phone
(309) 693-0100

Authorized Official

Name
WENDY RUTH SMITH
Title
CERTIFIED OPTICIAN
Phone
(309) 693-0100

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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