Mlsna Family Eye Care Sc

NPI #1760689814 in Rochelle, Illinois

Provider Information

NPI Number: 1760689814
Entity Type: Organization
Organization Name: Mlsna Family Eye Care Sc
Primary Specialty: Optometrist
Enumeration Date: Jul 2, 2007
Last Updated: Sep 19, 2007

Practice Location

Address: 719 LINCOLN AVE
City: Rochelle
State: Illinois
ZIP Code: 61068-1867
Phone: (815) 562-6175

Authorized Official

Name: DR. REID E MLSNA, O.D.
Title: OWNER
Phone: (815) 562-6175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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