NPI 1861643355
Professional Eye Care
Practice location
- Address
- 2017 75th St, Woodridge, IL 60517-2308
- Phone
- (630) 427-1000
- Fax
- (630) 427-1280
Authorised official
- Name
- Srinivas Jairam
- Title
- Owner
- Phone
- (630) 427-1000
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1861643355
- Entity type
- Organization
- NPI issued
- 2 Oct 2008
- Record last updated
- 20 Nov 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.