Vision Center of Loves Park, Inc.

NPI #1043324361 in Roscoe, Illinois

Provider Information

NPI Number: 1043324361
Entity Type: Organization
Organization Name: Vision Center of Loves Park, Inc.
Primary Specialty: Optometrist
Enumeration Date: Aug 17, 2006
Last Updated: Jan 20, 2009

Practice Location

Address: 11710 MAIN ST
Address 2: SUITE # 2
City: Roscoe
State: Illinois
ZIP Code: 61073-9566
Phone: (815) 623-6060

Authorized Official

Name: DR. RICHARD S. NEWCOMB, O.D.
Title: OWNER
Phone: (815) 623-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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