Main Street Optical

NPI #1346381530 in Crete, Illinois

Provider Information

NPI Number: 1346381530
Entity Type: Organization
Organization Name: Main Street Optical
Primary Specialty: Optometrist
Enumeration Date: Feb 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1359 MAIN ST
City: Crete
State: Illinois
ZIP Code: 60417-3044
Phone: (708) 672-1910

Authorized Official

Name: DR. THOMAS E HINES, O.D.
Title: PARTNER
Phone: (708) 672-1910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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