Whalio Doctors

NPI 1417130543

Jk Optical, INC

Organisation Optometrist Oak Lawn, IL

Practice location

Address
10550 S Cicero Ave, Oak Lawn, IL 60453-5267
Phone
(708) 499-3911
Fax
(708) 424-5318

Authorised official

Name
Walter Atkenson
Title
Officer
Phone
(708) 499-3911

Registered specialties (4)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 46007555 (IL)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 46007528 (IL)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 46007528 (IL)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 46007555 (IL)

Registry record

NPI
1417130543
Entity type
Organization
NPI issued
12 Dec 2007
Record last updated
11 Oct 2012

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.