NPI | 1407281009 |
---|---|
Doing Business As | EYE SPECIALIST OF ROCKFORD |
Entity Type | Organization |
Authorized Contact | MASUD I MALIK Physician And Owner 815-399-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 036-110588) |
Enumeration Date | 2013-09-13 |
Last Update Date | 2013-09-13 |