person
Mr. Jose L Nieves, OPTICAL
Optician in Rockford, Illinois
NPI 1639391832

Jose L Nieves is a Optician based in Rockford, IL and is specialized in Optician. Jose L Nieves practices in Rockford, IL and has the professional credentials of OPTICAL. The NPI Number for Jose L Nieves is 1639391832 and holds a License No. 156FX1800X (Illinois).

The current practice location address for Jose L Nieves is 4010 E State St Ste 103, Rockford, IL and can be reached out via phone at 815-397-5940 and via fax at 815-397-5947.

Location: 4010 E State St Ste 103, Rockford, IL, 61108-2044
person
Provider Profile Details
NPI Number
1639391832
Provider Name
Jose L Nieves
Credential
OPTICAL
Provider Entity Type
Individual
Gender
Male
Address
4010 E State St Ste 103, Rockford, IL, 61108-2044
Phone Number
815-397-5940
Fax Number
815-397-5947
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4010 E State St Ste 103
City
State
Zip
61108-2044
Phone Number
815-397-5940
Fax Number
815-397-5947
person
Provider Business Mailing Address Details
Address
4010 E State St Ste 103
City
State
Zip
61108-2044
Phone Number
815-397-5940
Fax Number
815-397-5947
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
156FX1800X ()
Definition
Definition to come...
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