DR. Janice Petersen Easty, O.D.

NPI #1942321252 in Rockford, Illinois

Provider Information

NPI Number: 1942321252
Entity Type: Individual
Name: DR. Janice Petersen Easty, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7200 HARRISON AVE
Address 2: F35
City: Rockford
State: Illinois
ZIP Code: 61112-1017
Phone: (815) 332-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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