Organization
SHAH VISION CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAYAG SHAH O.D. (OWNER/OPTOMETRIST)
(815) 315-9358
Entity
Organization
Contact information
Practice address
575 S PERRYVILLE RD, ROCKFORD, IL 61108-2530
(815) 315-9358
(815) 315-9358
Mailing address
575 S PERRYVILLE RD, ROCKFORD, IL 61108-2530
(815) 315-9358
(815) 315-9358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009516
IL
Other
Enumeration date
12/21/2010
Last updated
07/14/2014
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