| Provider Type: | Eye and Vision Services Providers |
| Provider Classification: | Technician/Technologist |
| Provider Specialization: | Optician |
| Address: |
125 S Northwest Hwy Park Ridge, IL 60068-4228 |
| Phone: | (847) 692-3375 |
| Authorized Official: | Mr. Kunz, Daryl R., OPTICIAN |
| Authorized Official Position: | Owner |
| Authorized Official Phone: | (847) 692-3375 |
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