Michael S. Feldt, O.d., Ltd.

NPI #1821248287 in Rockford, Illinois

Provider Information

NPI Number: 1821248287
Entity Type: Organization
Organization Name: Michael S. Feldt, O.d., Ltd.
Primary Specialty: Optometrist
Enumeration Date: Sep 23, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 1640 BROADWAY
City: Rockford
State: Illinois
ZIP Code: 61104-6000
Phone: (815) 397-1487

Authorized Official

Name: DR. MICHAEL SCOTT FELDT, O.D.
Title: PRESIDENT
Phone: (815) 397-1487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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