Optical Place Ltd.

NPI #1104995299 in Midlothian, Illinois

Provider Information

NPI Number: 1104995299
Entity Type: Organization
Organization Name: Optical Place Ltd.
Primary Specialty: Optometrist
Enumeration Date: Nov 6, 2006
Last Updated: Jun 14, 2011

Practice Location

Address: 4716 147TH ST
City: Midlothian
State: Illinois
ZIP Code: 60445-2527
Phone: (708) 597-6550

Authorized Official

Name: DR. THOMAS E HINES, O.D.
Title: PRESIDENT
Phone: (708) 597-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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