| Organization Name: | DONALD V MADUZIA OD PC |
| NPI Number: | 1033417845 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD V. MADUZIA (OPTOMETRIST/PRESIDENT) |
| Mailing Address: | 203 Railroad Ave Clarendon Hills |
| State: | IL US |
| Postal Code: | 605141301 |
| Phone Number: | 6303233202 |
| Fax Number: | 6303210512 |
| NPI Enumeration Date: | 03/02/2011 |
| NPI Last Update Date: | 03/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 046.007789 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |