For Eyes Optical of PA

NPI #1730653718 in Evanston, Illinois

Provider Information

NPI Number: 1730653718
Entity Type: Organization
Organization Name: For Eyes Optical of PA
Primary Specialty: Optometrist
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 635 CHICAGO AVE
City: Evanston
State: Illinois
ZIP Code: 60202-2365
Phone: (847) 864-8176

Authorized Official

Name: KIM GRIFFIN
Title: MANAGER
Phone: (305) 557-9004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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