Dekalb Optical Shop LLC

NPI #1598109456 in Sycamore, Illinois

Provider Information

NPI Number: 1598109456
Entity Type: Organization
Organization Name: Dekalb Optical Shop LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 23, 2013
Last Updated: Feb 5, 2020

Practice Location

Address: 2240 GATEWAY DR
City: Sycamore
State: Illinois
ZIP Code: 60178-3103
Phone: (815) 756-5897

Authorized Official

Name: GEORGE L NEAL
Title: CHIEF EXECUTIVE OFFICER
Phone: (469) 214-0144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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