Organization
ADVANCED ROCKFORD EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LYNNE KING OD (PRESIDENT)
(815) 316-2020
Entity
Organization
Contact information
Practice address
695 N PERRYVILLE RD, SUITE 3, ROCKFORD, IL 61107-6225
(815) 316-2020
Mailing address
695 N PERRYVILLE RD, SUITE 3, ROCKFORD, IL 61107-6225
(815) 316-2020
(815) 316-0010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009892
IL
Other
Enumeration date
07/02/2009
Last updated
09/12/2011
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