Shah Vision Consultants INC

NPI #1003119694 in Rockford, Illinois

Provider Information

NPI Number: 1003119694
Entity Type: Organization
Organization Name: Shah Vision Consultants INC
Primary Specialty: Optometrist
Enumeration Date: Dec 21, 2010
Last Updated: Jul 14, 2014

Practice Location

Address: 575 S PERRYVILLE RD
City: Rockford
State: Illinois
ZIP Code: 61108-2530
Phone: (815) 315-9358

Authorized Official

Name: MR. PRAYAG SHAH, O.D.
Title: OWNER/OPTOMETRIST
Phone: (815) 315-9358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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