For Eyes Optical of PA

NPI #1164996153 in Gurnee, Illinois

Provider Information

NPI Number
1164996153
Entity Type
Organization
Organization Name
For Eyes Optical of PA
Primary Specialty
Optometrist
Enumeration Date
Jan 14, 2019
Last Updated
Jan 14, 2019

Practice Location

Address
6631 GRAND AVE
City
Gurnee
ZIP Code
60031-5284
Phone
(847) 775-2103

Authorized Official

Name
KIM GRIFFIN
Title
MANAGER
Phone
(305) 557-9004

Specialties & Taxonomy Codes

Specialty
Optometrist

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