Organization
ROCKFORD RETINA CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SINA BAHMANYAR MD (PRESIDENT)
(815) 395-1157
Entity
Organization
Contact information
Practice address
1075 FEATHERSTONE RD, STE 10, ROCKFORD, IL 61107-5906
(815) 395-1157
Mailing address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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