Organization
MLSNA FAMILY EYE CARE SC
Active
Other names
Rochelle Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REID E MLSNA O.D. (OWNER)
(815) 562-6175
Entity
Organization
Contact information
Practice address
719 LINCOLN AVE, ROCHELLE, IL 61068-1867
(815) 562-6175
(815) 562-5037
Mailing address
719 LINCOLN AVE, ROCHELLE, IL 61068-1867
(815) 562-6175
(815) 562-5037
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
047.933091
IL
Other
Enumeration date
07/02/2007
Last updated
09/19/2007
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