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NPI Code Detail

MEDICARE: ROSIN OPTICAL CO., INC.

MEDICARE: ROSIN OPTICAL CO., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1073057634
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSIN OPTICAL CO., INC.
Provider Business Mailing Address
First Line : 6233 CERMAK RD
Second Line :
City : BERWYN
State : IL
Zip : 60402-2317
Country : US
Telephone Number : 708-749-2020
Fax Number : 708-749-2069
Provider Business Practice Location Address
First Line : 6322 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2521
Country : US
Telephone Number : 773-585-2022
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. NICHOLAS CHIARAMONTI JR.
Credential : O.D.
Telephone Number : 630-546-8319
Provider Enumeration Date : 12/15/2016
Last Update Date : 12/15/2016

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Directions to “ROSIN OPTICAL CO., INC. ” Practice Location

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