Northern Illinois Optical Co., Inc.

NPI #1639252273 in Rockford, Illinois

Provider Information

NPI Number: 1639252273
Entity Type: Organization
Organization Name: Northern Illinois Optical Co., Inc.
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Oct 24, 2006
Last Updated: Nov 7, 2024

Practice Location

Address: 121 N MADISON ST
City: Rockford
State: Illinois
ZIP Code: 61107-3949
Phone: (815) 963-3454

Authorized Official

Name: SHERI M DE ROSSO
Title: OWNER
Phone: (815) 963-3454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Technician/Technologist - Optician — Optician	156FX1800X	Primary

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MRS. Patricia Ann Carpenter	Technician/Technologist - Optician	Rockford	AI Deep Dive
MRS. Catherine J Whalen, OPTICIAN	Technician/Technologist - Optician	Rockford	AI Deep Dive
MR. Jose L Nieves, OPTICAL	Technician/Technologist - Optician	Rockford	AI Deep Dive
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