Leo J Prentice, O.D.

NPI #1144212028 in Woodridge, Illinois

Provider Information

NPI Number
1144212028
Entity Type
Individual
Name
Leo J Prentice, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 17, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
7451 WOODWARD AVE
Address 2
SUITE 101
ZIP Code
60517-2665
Phone
(630) 663-9112

Specialties & Taxonomy Codes

Specialty
Optometrist

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