Whalio Doctors

NPI 1013353184

Matthew W. Gifford, O.D., P.C

Organisation Optometrist Chicago, IL

Practice location

Address
2158 N Damen Ave, Chicago, IL 60647-9597
Phone
(773) 368-6471

Authorised official

Name
Matthew W Gifford
Title
President
Phone
(773) 368-6471

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 046009054 (IL)

Registry record

NPI
1013353184
Entity type
Organization
NPI issued
16 May 2013
Record last updated
11 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.