John Jacob Bartlett, O.D. Valid NPI

Individual provider · Optometrist · Glen Ellyn, IL

NPI

1225183999

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

ODP-100332 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-24

Last updated

2024-05-09