EDGEBROOK VISION CENTER LLC NPI 1477995074

NPI Information

EDGEBROOK VISION CENTER LLC is an eyewear supplier in Chicago, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EDGEBROOK VISION CENTER LLC NPI is 1477995074. The provider is registered as an organization entity type.

The provider's business location address is:

5315 W DEVON AVE
CHICAGO, IL
ZIP 60646-107
Phone: (773) 775-6555
Fax: (773) 775-3350

The provider's authorized official is Rosemary Theresa Kafka .
The authorized official title is President and has the following contact phone number (773) 550-9667.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 7/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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