Individual
DR. JAIME LYNNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
695 N PERRYVILLE RD, SUITE 3, ROCKFORD, IL 61107-6225
(815) 316-2020
(815) 316-0010
Mailing address
5915 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4935
(815) 316-2020
(815) 316-0010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009892
IL
Other
Enumeration date
09/06/2006
Last updated
07/10/2019
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