Industrial Optical Service, Inc.

NPI #1679623714 in Evanston, Illinois

Provider Information

NPI Number: 1679623714
Entity Type: Organization
Organization Name: Industrial Optical Service, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jan 11, 2007
Last Updated: May 15, 2008

Practice Location

Address: 2000 CENTRAL ST
City: Evanston
State: Illinois
ZIP Code: 60201-2218
Phone: (847) 864-0300

Authorized Official

Name: DANIEL LIEBERMAN, O.D.
Title: OWNER
Phone: (847) 864-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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