Chris Martin II Od PC

NPI #1427066232 in Bourbonnais, Illinois

Provider Information

NPI Number: 1427066232
Entity Type: Organization
Organization Name: Chris Martin II Od PC
Primary Specialty: Optometrist
Enumeration Date: Aug 4, 2006
Last Updated: Aug 15, 2008

Practice Location

Address: 2080 N. STATE RT 50
City: Bourbonnais
State: Illinois
ZIP Code: 60915
Phone: (815) 929-0429

Authorized Official

Name: DR. CHRIS D MARTIN II, O.D.
Title: PRESIDENT
Phone: (815) 929-0429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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