# PREM S VIRDI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Virdi Eye Clinic Laser Vision Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811950892
- **Authorized official:** PREM S VIRDI (PHYSICIAN)
- **Authorized official phone:** (309) 788-5524

## Contact information

- **Practice address:** 4600 30TH ST, ROCK ISLAND, IL 61201-7038
- **Practice address phone:** (309) 788-5524
- **Practice address fax:** (309) 788-9550
- **Mailing address:** 4600 30TH ST, ROCK ISLAND, IL 61201-7038
- **Mailing address phone:** (309) 788-5524
- **Mailing address fax:** (309) 788-9550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 06/03/2008