Eye Boutique INC

NPI #1114144276 in Schaumburg, Illinois

Provider Information

NPI Number: 1114144276
Entity Type: Organization
Organization Name: Eye Boutique INC
Primary Specialty: Optometrist
Enumeration Date: Apr 19, 2007
Last Updated: Aug 22, 2022

Practice Location

Address: 1839 W IRVING PARK RD
City: Schaumburg
State: Illinois
ZIP Code: 60193-3509
Phone: (847) 891-9096

Authorized Official

Name: MR. DARREN THOMAS HORNDASCH
Title: PRESIDENT
Phone: (262) 432-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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