Individual
VY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
6055 E STATE ST, ROCKFORD, IL 61108-2512
(815) 394-7412
Mailing address
6055 E STATE ST STE D01A, ROCKFORD, IL 61108-2512
(815) 394-7412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010911
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2015
Last updated
08/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us