Bolingbrook Vision Source Inc.
NPI #1902129604 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1902129604
- Entity Type
- Organization
- Organization Name
- Bolingbrook Vision Source Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 9, 2010
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 492 W BOUGHTON RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-1441
- Phone
- (630) 759-4396
Authorized Official
- Name
- DR. JOHN J. GARDNER, O.D.
- Title
- OWNER
- Phone
- (708) 598-1322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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