Organization
IMLER VISION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IMLER MD (MEMBER)
(815) 973-5043
Entity
Organization
Contact information
Practice address
4857 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 399-0599
Mailing address
1875 WILDCAT CT, DIXON, IL 61021-9244
(815) 284-9749
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
036-107453
IL
Other
Enumeration date
02/04/2009
Last updated
08/19/2009
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