institution
Northern Illinois Optical Co., Inc.
Customized Equipment (DME) in Rockford, Illinois
NPI 1639252273

Northern Illinois Optical Co., Inc. is a Customized Equipment (DME) based in Rockford, IL and is specialized in Customized Equipment. Northern Illinois Optical Co., Inc. practices in Rockford, IL. The NPI Number for Northern Illinois Optical Co., Inc. is 1639252273 and holds a License No. (Illinois).

The current practice location address for Northern Illinois Optical Co., Inc. is 121 N Madison St, Rockford, IL and can be reached out via phone at 815-963-3454 and via fax at 815-963-4384.

Location: 121 N Madison St, Rockford, IL, 61107-3949
institution
Provider Profile Details
NPI Number
1639252273
Provider Name
Northern Illinois Optical Co., Inc.
Credential
Provider Entity Type
Organization
Address
121 N Madison St, Rockford, IL, 61107-3949
Phone Number
815-963-3454
Fax Number
815-963-4384
Provider Enumeration Date
10/24/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10115103 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
121 N Madison St
City
State
Zip
61107-3949
Phone Number
815-963-3454
Fax Number
815-963-4384
person
Provider Business Mailing Address Details
Address
121 N Madison St
City
State
Zip
61107-3949
Phone Number
815-963-3454
Fax Number
815-963-4384
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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