Ken Mia Vision LLC

NPI #1487298774 in Midlothian, Illinois

Provider Information

NPI Number: 1487298774
Entity Type: Organization
Organization Name: Ken Mia Vision LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 30, 2019
Last Updated: Oct 30, 2019

Practice Location

Address: 14702 CICERO AVE
City: Midlothian
State: Illinois
ZIP Code: 60445-3173
Phone: (708) 687-2115

Authorized Official

Name: MR. HECTOR GARCIA
Title: PRESIDENT
Phone: (708) 802-1553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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