NPI 1639229776

Industrial Optical Service, INC.

Organisation Optometrist Grayslake, IL

Practice location

Address: 146 Center St Suite 200, Grayslake, IL 60030-1533
Phone: (773) 736-6800
Mailing address: 4418 W Diversey Ave, Chicago, IL 60639-1924

Authorised official

Name: Daniel Lieberman
Title: Owner
Phone: (773) 736-6800

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Registry record

NPI: 1639229776
Entity type: Organization
NPI issued: 11 Jan 2007
Record last updated: 15 May 2008

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.