| 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 |