Provider Demographics
NPI:1093272619
Name:ROSIN OPTICAL CO. INC.
Entity Type:Organization
Organization Name:ROSIN OPTICAL CO. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CHIARAMONTI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-546-8319
Mailing Address - Street 1:1706 E ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6838
Mailing Address - Country:US
Mailing Address - Phone:630-546-8319
Mailing Address - Fax:
Practice Address - Street 1:1825 NE 164TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4100
Practice Address - Country:US
Practice Address - Phone:305-945-7113
Practice Address - Fax:305-945-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty