Rose Optical, Inc.

NPI #1669444063 in Godfrey, Illinois

Provider Information

NPI Number: 1669444063
Entity Type: Organization
Organization Name: Rose Optical, Inc.
Primary Specialty: Optometrist
Enumeration Date: Feb 2, 2006
Last Updated: Aug 29, 2011

Practice Location

Address: 3300 GODFREY RD
City: Godfrey
State: Illinois
ZIP Code: 62035-2558
Phone: (618) 466-8787

Authorized Official

Name: MRS. MARIE ANNETTE MANGRUM
Title: BOARD SECRETARY/TREAS.
Phone: (618) 466-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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