M&m Optical INC

NPI #1265572465 in Homewood, Illinois

Provider Information

NPI Number: 1265572465
Entity Type: Organization
Organization Name: M&m Optical INC
Primary Specialty: Optometrist
Enumeration Date: Feb 7, 2007
Last Updated: Jul 1, 2011

Practice Location

Address: 18234 HALSTED ST
City: Homewood
State: Illinois
ZIP Code: 60430-2508
Phone: (708) 798-7711

Authorized Official

Name: MARK B BUSCH, OD
Title: PRESIDENT
Phone: (708) 482-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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