Organization
MICHAEL S. FELDT, O.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT FELDT O.D. (PRESIDENT)
(815) 397-1487
Entity
Organization
Contact information
Practice address
1640 BROADWAY, ROCKFORD, IL 61104-6000
(815) 397-1487
(815) 397-3435
Mailing address
1640 BROADWAY, ROCKFORD, IL 61104-6000
(815) 397-1487
(815) 397-3435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006833
IL
Other
Enumeration date
09/23/2008
Last updated
12/01/2008
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