Advanced Rockford Eye Care LLC

NPI #1598994295 in Rockford, Illinois

Provider Information

NPI Number: 1598994295
Entity Type: Organization
Organization Name: Advanced Rockford Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 2, 2009
Last Updated: Sep 12, 2011

Practice Location

Address: 695 N PERRYVILLE RD
Address 2: SUITE 3
City: Rockford
State: Illinois
ZIP Code: 61107-6225
Phone: (815) 316-2020

Authorized Official

Name: DR. JAIME LYNNE KING, OD
Title: PRESIDENT
Phone: (815) 316-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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