NPI | 1871262477 |
---|---|
Doing Business As | ROCKFORD OPTOMETRY |
Entity Type | Organization |
Authorized Contact | JUDY CHANTHALANGSY Owner 815-997-0164 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-09-08 |
Last Update Date | 2021-09-23 |