Eyedentity Vision Care, LLC

NPI #1538350228 in Geneva, Illinois

Provider Information

NPI Number: 1538350228
Entity Type: Organization
Organization Name: Eyedentity Vision Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 7, 2007
Last Updated: Dec 16, 2014

Practice Location

Address: 309 HAMILTON ST STE A
City: Geneva
State: Illinois
ZIP Code: 60134-2182
Phone: (630) 232-4211

Authorized Official

Name: DR. THOMAS J CARR, O.D.
Title: PRESIDENT
Phone: (630) 232-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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