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
1	152W00000X	Optometrist	046008520	IL

General Provider Information

NPI Number	:	1265942502
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	:	7257 S JEFFERY BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-3014
Country	:	US
Telephone Number	:	773-493-7040
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PROFESSIONAL SERVICES
Name	:	DR. NICHOLAS CHIARAMONTI JR.
Credential	:	O.D.
Telephone Number	:	630-546-8319

Provider Enumeration Date	:	09/30/2017
Last Update Date	:	09/30/2017

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

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