NPI 1790851806

Southland Eye Associates PC

Organisation Optometrist Olympia Fields, IL

Practice location

Address: 19950 Governors Hwy 2nd Floor, Olympia Fields, IL 60461
Phone: (708) 481-4600
Fax: (708) 481-4852

Authorised official

Name: Louis L. Lipschultz, O.D.
Title: Owner
Phone: (708) 481-4600

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046007932 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1790851806
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 15 Apr 2011

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.