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

General Provider Information

NPI Number	:	1336678200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSIN OPTICAL CO., INC.

Provider Business Mailing Address
First Line	:	1706 E ROOSEVELT RD
Second Line	:
City	:	WHEATON
State	:	IL
Zip	:	60187-6838
Country	:	US
Telephone Number	:	630-546-8319
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 S WABASH AVE STE 101
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2372
Country	:	US
Telephone Number	:	312-662-1904
Fax Number	:	312-662-1907

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

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	06/05/2017

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

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