Shelle Optical

NPI #1295908663 in South Chicago Heights, Illinois

Provider Information

NPI Number: 1295908663
Entity Type: Organization
Organization Name: Shelle Optical
Primary Specialty: Optometrist
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 170 W SAUK TRL
City: South Chicago Heights
State: Illinois
ZIP Code: 60411-5359
Phone: (708) 754-7111

Authorized Official

Name: JOHN BECKER
Title: OWNER
Phone: (708) 754-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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