Search › Illinois › 152WC0802X
Mark Vidas, O.D
NPI 1881787901 · on the registry since 2006 · sole proprietor
Practice
- Address
- 135 W River St
Bourbonnais, IL 60914 - Phone
- (815) 939-2222
- Fax
- (815) 939-0970
- Organisation at this address
- Meyer Optical Co. Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152WC0802X
152WC0802X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois