Individual
DR. BECKY ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
12603 ILLINOIS HIGHWAY 143, HIGHLAND, IL 62249-1194
(618) 882-4262
(618) 882-4263
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009698
IL
152W00000X
Optometrist
2004018250
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009698
—
IL
05
—
318392024
—
MO
Enumeration date
12/12/2006
Last updated
10/02/2014
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