Rockford Eye & Laser Center Ltd. | |
4301 N Mulford Rd, Loves Park, IL 61111-6955 | |
(815) 227-0077 | |
(815) 227-5886 |
Full Name | Rockford Eye & Laser Center Ltd. |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4301 N Mulford Rd, Loves Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073015434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Herb Becker |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801852314 PECOS PAC ID: 7719943794 Enrollment ID: I20041203000013 |
Provider Name | Bradley N Lemke |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437244621 PECOS PAC ID: 0648225342 Enrollment ID: I20050317000264 |
Provider Name | Woosuk S Yoon |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295844934 PECOS PAC ID: 7315988375 Enrollment ID: I20050519000687 |
Provider Name | Christina Pina Miller |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063471886 PECOS PAC ID: 5991728123 Enrollment ID: I20060113000098 |
Provider Name | John C Choi |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699765230 PECOS PAC ID: 4082717921 Enrollment ID: I20070313000453 |
Provider Name | Wingyin H Durias |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255851945 PECOS PAC ID: 7012256803 Enrollment ID: I20190221001817 |
Provider Name | Krupa V Patel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861048936 PECOS PAC ID: 5991034399 Enrollment ID: I20190910003690 |
Mailing Address | Practice Location Address |
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Rockford Eye & Laser Center Ltd. 4301 N Mulford Rd, Loves Park, IL 61111-6955 Ph: (815) 227-0077 | Rockford Eye & Laser Center Ltd. 4301 N Mulford Rd, Loves Park, IL 61111-6955 Ph: (815) 227-0077 |