Phc of Buffalo Grove Optometry

NPI #1710284419 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1710284419
Entity Type: Organization
Organization Name: Phc of Buffalo Grove Optometry
Primary Specialty: Optometrist
Enumeration Date: Feb 16, 2011
Last Updated: Aug 9, 2011

Practice Location

Address: 150 W HALF DAY RD
Address 2: SUITE 105
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-6591
Phone: (847) 868-3435

Authorized Official

Name: DR. LEXI SURBER, OD
Title: PRESIDENT
Phone: (847) 868-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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