The Vision Salon, Ltd.

NPI #1487727046 in Blue Island, Illinois

Provider Information

NPI Number: 1487727046
Entity Type: Organization
Organization Name: The Vision Salon, Ltd.
Primary Specialty: Optometrist
Enumeration Date: Nov 15, 2006
Last Updated: Nov 24, 2010

Practice Location

Address: 12812 WESTERN AVE
City: Blue Island
State: Illinois
ZIP Code: 60406-2118
Phone: (708) 385-0013

Authorized Official

Name: DR. ANSEL T JOHNSON, O.D.
Title: PRESIDENT/OWNER
Phone: (708) 385-0013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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