NPI 1003119694

Shah Vision Consultants INC

Organisation Optometrist Rockford, IL

Practice location

Address: 575 S Perryville Rd, Rockford, IL 61108-2530
Phone: (815) 315-9358
Fax: (815) 315-9358

Authorised official

Name: Prayag Shah
Title: Owner/Optometrist
Phone: (815) 315-9358

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046009516 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1003119694
Entity type: Organization
NPI issued: 21 Dec 2010
Record last updated: 14 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.